TechniquesAchieving the Optimum Bone Block Position in the Latarjet Procedure: Surgical TechniqueAl-Mouazzen, Louay MD, MRCS, MSc; Lachanas, Yiannis MD, FRCS; Tasker, Andrew FRCS(Orth); Woods, David FRCS(Orth)Author Information Department of Trauma & Orthopaedics Surgery, Great Western Hospital, Swindon, UK Present address: Andrew Tasker and David Woods, Great Western Hospital NHS Trust, Swindon, UK. The study was conducted at the Department of Trauma & Orthopaedics, Great Western Hospital NHS Trust, Swindon, UK. The authors declare no conflicts of interest. Reprints: Louay Al-Mouazzen, MD, MRCS, MSc, 17 Rushy Way, Bristol BS16 7 ER, UK (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: June 2018 - Volume 19 - Issue 2 - p 59-61 doi: 10.1097/BTE.0000000000000127 Buy Metrics Abstract The Latarjet procedure is one of the most popular procedures performed in the management of shoulder instability with associated glenoid bone loss. Accurate positioning of the coracoid bone block is crucial for the success of the operation. We describe a new technique that allows positioning of the coracoid bone using 2 Kirschner wires inserted at the anterolateral edge of the glenoid at 4 to 5 o’clock to act as a railroad and guide exact bone block placement. We have had no recurrences of instability or any intraoperative complications since adopting this technique. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.