The Latarjet Procedure is possibly the most resilient and reliable operation to stabilise an unstable shoulder – especially in an athlete that plays contact sport like rugby. It was conceived by a French surgeon (Dr Latarjet). Although the basic principle of this operation has not changed greatly, there have been several modifications made to improve patient outcomes. Professor Matthias Zumstein (Bern, Switzerland) and Associate Professor Raniga were invited to provide their perspective and commentary on how they carry out this operation.

Associate Professor Raniga carries out a more evolved Latarjet Procedure which incorporates subtle modifications in surgical technique that reduces the risk of arthritis in the long term and also prevents the shoulder from becoming too stiff by preserving motion.