Dr Puah Ken Lee 潘健理
Orthopaedic Surgeon
Shoulder, Elbow & Sports Injuries
Practising at Mount Elizabeth Novena Hospital, Singapore
Appointments by prior arrangement
Dr Puah Ken Lee 潘健理
Orthopaedic Surgeon
Shoulder, Elbow & Sports Injuries
Mount Elizabeth Novena Hospital, Singapore
✔ Subspecialty Focus in Shoulder & Elbow, Sports Injuries
✔ Practising at Mount Elizabeth Novena Hospital
✔ Evidence-based treatment, Individualised Care
Advanced Treatment for Recurrent Shoulder Dislocation
Dr Puah Ken Lee is a shoulder specialist in Singapore with experience in managing complex shoulder instability, including recurrent dislocations.
He has undergone fellowship training with Dr Laurent Lafosse, who pioneered the arthroscopic Latarjet procedure, and applies these principles in selected cases requiring advanced stabilisation.
The arthroscopic Latarjet procedure is an advanced surgical technique used to restore stability in patients with recurrent shoulder dislocation, particularly when there is bone loss or failed prior stabilisation.
Arthroscopic Latarjet is typically considered in patients with recurrent shoulder instability where standard arthroscopic stabilisation may not be sufficient.
What Is the Latarjet Procedure?
The Latarjet procedure involves transferring a small piece of bone (the coracoid) to the front of the shoulder joint to:
- Restore stability
- Prevent recurrent dislocation
- Provide a structural “block” against further instability
In selected cases, this can be performed using arthroscopic (keyhole) techniques, allowing for precise placement and reduced soft tissue disruption.
The arthroscopic technique was developed to allow precise placement and improved visualisation, and is performed in selected cases based on patient-specific factors.
When Is Arthroscopic Latarjet Recommended?
This procedure may be considered in patients with:
- Recurrent shoulder dislocations
- Significant bone loss of the shoulder joint
- Failed previous stabilisation surgery
- High-risk athletes involved in contact or overhead sports
→ You may also wish to read about shoulder dislocation and instability
Arthroscopic vs Open Latarjet
Traditionally, the Latarjet procedure has been performed using an open approach.
Arthroscopic Latarjet is a more technically demanding technique, but offers potential advantages:
- Smaller incisions
- Improved visualisation of the joint
- More precise positioning
- Reduced soft tissue disruption
The choice of technique depends on individual factors and will be discussed during consultation.
Recovery After Latarjet Surgery
Recovery typically involves:
- A period of immobilisation in a sling
- Gradual physiotherapy to restore motion and strength
- Progressive return to sports and activity
Most patients can expect a structured rehabilitation programme tailored to their needs and activity goals.
Risks and Considerations
As with any surgical procedure, potential risks include:
- Infection
- Nerve injury
- Stiffness
- Persistent instability (uncommon)
- Fracture of bone block
Careful patient selection and surgical technique are important in achieving optimal outcomes.
Related Topics
Shoulder specialist assessment
Shoulder arthroscopy (keyhole surgery)
Treatment for shoulder dislocation and instability
Why Choose Dr Puah
- Shoulder-focused orthopaedic practice
- Experience in arthroscopic and instability surgery
- Fellowship training in advanced shoulder techniques
- Trained under Dr Laurent Lafosse, pioneer of the arthroscopic Latarjet procedure
- Located at Mount Elizabeth Novena
Book a Consultation
If you have experienced recurrent shoulder dislocations or have been advised to consider surgery, a specialist assessment can help determine the most appropriate treatment.
Orthopaedic conditions can affect function, performance and quality of life. Early diagnosis and appropriate treatment can improve outcomes.
Dr Puah Ken Lee is an orthopaedic surgeon in Singapore specialising in shoulder, elbow and sports injuries, and patients are encouraged to seek evaluation for persistent symptoms.