Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique

Corradini, Alessandro; Campochiaro, Gabriele; Gialdini, Mauro; Rebuzzi, Manuela; Baudi, Paolo

doi:10.1007/s12306-018-0558-4

Cited by 10 publications

(14 citation statements)

References 21 publications

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“…This could also be one of the reasons that fragment size is a limitation for other techniques. 2,3,6,7 Along with the direct stabilization provided by the kissing anchors construct, the standard repair of the remaining detached labrum offers and an additional, yet indirect, stabilization effect owing to ligamentotaxis, it being attached to the fracture's fragment. 3,7 It may also be possible to speculate minimal correction of the rotation of the fragment when the knots on the labrum are tied, which reasonably perfects the definitive position, making flush the chondral surfaces.…”

Section: Discussionmentioning

confidence: 99%

“…3,7 It may also be possible to speculate minimal correction of the rotation of the fragment when the knots on the labrum are tied, which reasonably perfects the definitive position, making flush the chondral surfaces. Another advantage is that this technique does not leave sutures on the chondral surface, [2][3][4][5][6][7][8] thus reducing the occurrence of secondary degenerative disease.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] Tauber et al 5 successfully reported about fragment fixation with 2.7-mm cannulated screws under arthroscopic guidance. Sugaya et al 3 and Porcellini et al 2 developed a suture anchor technique from Bankart lesion repair using suture anchors, which was recently modified by Corradini et al, 7 exploiting ligamentotaxis. Other Technical Notes also demonstrated the feasibility of more technically demanding fragment stabilizations.…”

mentioning

confidence: 99%

“…Several techniques have been described in the past decades. 2 , 3 , 4 , 5 , 6 , 7 , 8 Tauber et al. 5 successfully reported about fragment fixation with 2.7-mm cannulated screws under arthroscopic guidance.…”

mentioning

confidence: 99%

“… 3 and Porcellini et al. 2 developed a suture anchor technique from Bankart lesion repair using suture anchors, which was recently modified by Corradini et al., 7 exploiting ligamentotaxis. Other Technical Notes also demonstrated the feasibility of more technically demanding fragment stabilizations.…”

mentioning

confidence: 99%

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Anatomic Reduction and Fixation for Glenoid Fractures: The Kissing Anchor Technique

Gervasi¹,

Giudici²,

Spicuzza

2020

Arthroscopy Techniques

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Up to one fifth of glenoid fractures are intra-articular and associated with recurrent anterior dislocation. Surgery is often the indicated treatment, and as with many other articular fractures, it aims for a perfectly congruent and flush reconstruction of the articular surface to avoid the onset of secondary degenerative joint diseases. The purpose of this paper is to describe a reproducible, simple arthroscopic technique that uses suture anchors to fix the glenoid fragment with a strong and stable construct called "kissing anchors." This method provides the advantages of both direct and indirect stabilizing effects. It applies 2 anchors, one inside the fragment and the other inside the fracture bed, to stabilize and fix the fragment, and is adequately associated with labrum refixation, which provides the construct with increased stability. However, a surgeon willing to apply it should already be confident with basic shoulder arthroscopy and should have performed an appropriate amount of arthroscopic shoulder stabilizations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Anatomic Reduction and Fixation for Glenoid Fractures: The Kissing Anchor Technique

Gervasi¹,

Giudici²,

Spicuzza

2020

Arthroscopy Techniques

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Aktuelle Konzepte bei der Versorgung von Glenoidfrakturen

Boehm,

Haasters,

Scheibel

2024

Arthroskopie

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Arthroscopic double-row bridge fixation provided satisfactory shoulder functional restoration with high union rate for acute anterior glenoid fracture

Park

Lee

2023

Knee Surg Sports Traumatol Arthrosc

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PurposeTo introduce a novel surgical technique for arthroscopic reduction and double‐row bridge fixation using trans‐subscapularis tendon portal for anterior glenoid fracture and to evaluate the clinical and radiological outcomes. MethodsA total of 22 patients who underwent arthroscopic reduction and double‐row bridge fixation for an acute anterior glenoid fracture were retrospectively evaluated. Arthroscopic surgery was performed using four portals including a trans‐subscapularis tendon portal. All patients underwent 3D‐CT preoperatively and one day and one year postoperatively to evaluate the fracture fragment size, reduction status, and presence of fracture union. To evaluate the degree of fragment displacement, articular step‐off and medial fracture gap were measured using 3D‐CT. Clinical outcomes were assessed based on the ASES and Constant scores. Postoperative glenohumeral joint arthritis was evaluated using plain radiographs with the Samilson and Prieto classification. ResultsThe average preoperative fracture fragment size was 25.9 ± 5.6%. Articular step‐off (preoperative: 6.0 ± 3.3 mm, postoperative one day: 1.1 ± 1.6 mm, P < 0.001) and medial fracture gap (preoperative: 5.2 ± 2.6 mm, postoperative one day: 1.9 ± 2.3 mm, P < 0.001) were improved after surgery. On the postoperative one year 3D‐CT, 20 patients achieved complete fracture union, and two patients showed partial union. Postoperative glenohumeral joint arthritis was observed in four patients. At the last visit, the ASES score was 91.8 ± 7.0 and the Constant score was 91.6 ± 7.0. ConclusionArthroscopic reduction and double‐row bridge fixation using a trans‐subscapularis tendon portal for acute anterior glenoid fracture achieved satisfactory clinical outcomes and anatomical reduction as demonstrated by a low degree of articular step‐off and medial fracture gap. Level of evidenceLevel IV.

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Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique

Cited by 10 publications

References 21 publications

Anatomic Reduction and Fixation for Glenoid Fractures: The Kissing Anchor Technique

Anatomic Reduction and Fixation for Glenoid Fractures: The Kissing Anchor Technique

Aktuelle Konzepte bei der Versorgung von Glenoidfrakturen

Arthroscopic double-row bridge fixation provided satisfactory shoulder functional restoration with high union rate for acute anterior glenoid fracture

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