Abstract Although relatively rare, recurrent anterior shoulder instability requiring revision surgery after a failed Latarjet procedure can result in complications such as graft malposition, graft osteolysis, broken hardware and/or infection. Revision surgery after a failed Latarjet is a challenge due to a combination of technical factors such as alteration of the native anatomic landmarks and neurovascular structures, presence of extensive scar tissue and adhesions, and limited anterior glenoid real estate for a revision bone block. This technique outlines a systematic approach to the failed Latarjet procedure with focus on removal of the prior hardware and graft and thorough preparation of the anterior glenoid for revision anterior stabilization.
DeFoor et al. (2026) studied this question.