Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleFailed Latarjet Treated With Full Arthroscopic Eden–Hybinette Procedure Using Two Cortical Suture Buttons Leads to Satisfactory Clinical Outcomes and Low Recurrence Rate
Section snippets
Methods
Between June 2015 and December 2019, patients with recurrent anterior instability after failed Latarjet who underwent arthroscopic Eden–Hybinette procedure using 2 cortical buttons were included in this study. Surgeries were performed by 2 surgeons (P.V., J.D.W.) who specialized in shoulder surgery. Exclusion criteria were open and primary Eden–Hybinette and less than 1 year follow-up. All medical records were reviewed retrospectively. No patient was lost to follow-up.
Demographics
A total of 17 patients (16 males and 1 female) with recurrent shoulder instability after failed Latarjet were included. The average age was 25 ± 6 years (range 16-41 years) at the time of primary Latarjet procedure and 28 ± 5 years (range, 21-43 years) at the time of the revision Eden–Hybinette. Dominant side was affected in 12 patients (71%) and 13 patients (76%) were involved in sports. Two patients (12%) had epilepsy, and 7 patients (41%) had bilateral external rotation at the side of
Discussion
The results of this study show that arthroscopic Eden–Hybinette procedure using 2 cortical buttons leads to satisfactory clinical outcomes and low recurrence rates after failed Latarjet. The rate of recurrent anterior instability after revision was 11.7% at a mean follow-up of 3 years. This recurrence rate is similar to previous reports. Lunn et al.7 assessed the results of a modified open Eden–Hybinette, using metal screws, as a salvage procedure after failed Latarjet. Recurrent dislocation
Conclusions
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.
References (23)
- et al.
Arthroscopic Latarjet: Indications, techniques, and results
Arthroscopy
(2020) - et al.
Clinical and radiographic outcomes of open Latarjet procedure in patients aged 40 years or older
J Shoulder Elbow Surg
(2019) - et al.
Neer Award 2019: Latarjet procedure vs. iliac crest bone graft transfer for treatment of anterior shoulder instability with glenoid bone loss: A prospective randomized trial
J Shoulder Elbow Surg
(2019) - et al.
Arthroscopic Latarjet: Suture-button fixation is a safe and reliable alternative to screw fixation
Arthroscopy
(2019) - et al.
All-arthroscopic, guided Eden-Hybbinette procedure using suture-button fixation for revision of failed Latarjet
J Shoulder Elbow Surg
(2019) - et al.
Recurrent anterior dislocation after the Latarjet procedure: Outcome after revision using a modified Eden-Hybinette operation
J Shoulder Elbow Surg
(2008) - et al.
All-arthroscopic revision eden-hybinette procedure for failed instability surgery: Technique and preliminary results
Arthroscopy
(2017) - et al.
The role of arthroscopic soft tissue reconstruction for failed Bristow-Latarjet procedure
Arthroscopy
(2019) - et al.
Failed Latarjet procedure treated with a revision bone block stabilization using a suture-button fixation
J Shoulder Elbow Surg
(2017) - et al.
The combined arthroscopic revision technique after the Latarjet procedure
Arthrosc Tech
(2019)
Subscapularis dysfunction following anterior surgical approaches to the shoulder
J Shoulder Elbow Surg
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2023, Journal of the American Academy of Orthopaedic Surgeons Global Research and ReviewsManagement of off-track Hill-Sachs lesions in anterior glenohumeral instability
2023, Journal of Experimental Orthopaedics
The authors report the following potential conflicts of interest or sources of funding: P.V. is a consultant for VIMS and has developed the implants and the instruments used to perform the arthroscopic-guided Latarjet procedure with suture-button fixation. Full ICMJE author disclosure forms are available for this article online, as supplementary material.