Failed Latarjet Treated With Full Arthroscopic Eden–Hybinette Procedure Using Two Cortical Suture Buttons Leads to Satisfactory Clinical Outcomes and Low Recurrence Rate
Arthroscopy: The Journal of Arthroscopic & Related Surgery, ISSN: 0749-8063, Vol: 38, Issue: 4, Page: 1126-1133
2022
- 13Citations
- 26Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations13
- Citation Indexes13
- 13
- CrossRef1
- Captures26
- Readers26
- 26
Article Description
To report clinical and radiologic outcomes of arthroscopic Eden–Hybinette using 2 cortical suture buttons in a series of patients with previous failed Latarjet and persistent glenoid bone loss. Between 2015 and 2019, patients with recurrent anterior instability after failed Latarjet underwent arthroscopic Eden–Hybinette procedure using 2 cortical buttons for graft fixation. Exclusion criteria were open and primary Eden–Hybinette and less than one year follow-up. Functional assessment was performed using Rowe and Walch-Duplay scores, subjective shoulder value, visual analog scale, and degree of satisfaction. Iliac crest bone graft placement and healing were assessed postoperatively with computed tomography imaging. A total of 17 patients with a mean age of 28 years (range, 21-43 years) at time of revision were included. The mean glenoid bone loss was 23% (range, 18%-42%). Medium or deep Hill–Sachs lesion (Calandra 2 and 3) was present in 65% of cases. At a mean follow-up of 3 ± 1.6 years, all but 1 patient (94%) considered their shoulder stable, and 15 patients (88%) were satisfied or very satisfied. The subjective shoulder value increased from 51% to 87% ( P <.05), the Walch–Duplay increased from 23 to 86 points ( P <.05), and Rowe scores improved from 30 to 92 points ( P <.05). Apprehension was still positive in 3 patients (17.6%), with this percentage being greater in the presence of Hill–Sachs Calandra 3 ( P =.02). Postoperative computed tomography scans showed optimal bone autograft position in all patients (below the glenoid equator and flush to the glenoid rim). Iliac crest bone graft healed to the anterior glenoid neck in 16 shoulders (94%). The rate of recurrent instability was 11.7% but only 1 patient required revision surgery (5.8%). Arthroscopic Eden–Hybinette using 2 cortical buttons leads to satisfactory clinical outcomes and a low recurrence rate after failed Latarjet, allowing successful reconstruction of the anterior glenoid rim and simultaneous treatment of capsular deficiency and humeral bone loss. Therapeutic, level IV, retrospective case series.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0749806321009579; http://dx.doi.org/10.1016/j.arthro.2021.10.026; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85120343166&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/34767954; https://linkinghub.elsevier.com/retrieve/pii/S0749806321009579; https://dx.doi.org/10.1016/j.arthro.2021.10.026
Elsevier BV
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