Laterjet-Bristow procedure (Walch and Boileau). A, Vertical incision under tip of coracoid process. B, Harvest of bone block corresponding to horizontal part of coracoid process, retaining conjoined coracobrachialis tendon and coracoacromial ligament. C, Division of subscapularis horizontally. Anteroinferior glenoid rim is decorticated. D, Bicortical fixation of bone block. Outer capsular flap is sutured to remainder of coracoacromial ligament. SEE TECHNIQUE 47.6.