Historie, Technik und Ergebnisse des Korakoidtransfers

Coracoid transfer is still an extremely reliable method for the treatment of ventral shoulder instability. It combines the soft tissue intervention of a Bankart operation via the refixation of the capsulolabral complex with the augmentation of glenoid bone defects. Since the first description by Michel Latarjet in 1954 the procedure has undergone many modifications. Since its description by Boileau and Lafosse arthroscopic coracoid transfer has become increasingly more popular but due to the complexity of the procedure it belongs in the hands of experienced arthroscopists in specialized shoulder centers.

Selective literature search.

Both arthroscopic and open coracoid transfer achieve satisfactory long-term results with low rates of recurrent instability. The complication rate could be reduced due to improved instruments and the increasing experience of surgeons. Injury to neurovascular structures can be prevented by consistently observing the anatomical proximity.

Due to implant-associated complications there is a strong drive towards innovation in fixation procedures. Screw fixation and suture button fixation are already established, while further research is needed into the use of anchors and suture cerclages. The Bristow, Latarjet-Patte and congruent arc transfer methods also require further comparative studies. Current research focuses on Bankart surgery with remplissage of Hill-Sachs lesions for the treatment of patients with a glenoid bone loss of more than 15%. Despite promising results in the short-term follow-up, this procedure should be indicated with caution until long-term studies are available.