The Combined Arthroscopic Revision Technique After the Latarjet Procedure

Abstract

The Latarjet procedure is very popular and is the method of choice in cases of glenoid bone loss and anterior-inferior instability or revision procedures. However, recurrence is common after this procedure. One of the methods of revision after the Latarjet procedure is the Eden-Hybinette technique. However, recurrence occurs after this bone grafting procedure as well. The primary reasons for recurrence are graft resorption and capsular deficiency. To improve these outcomes, transfer of the long head of the biceps for capsular reinforcement has been recommended by several authors. We describe an all-arthroscopic procedure, performed after the Latarjet technique, that combines bone block transfer, trans-subscapular transposition of the long head of the biceps, and anterior labroplasty. This technique can significantly reinforce the deficient capsule through the sling effect and cover the graft for prophylaxis against bone resorption.

Arthroscopic “Double-Inlay” Eden-Hybinette Procedure with Modified Suture Button Fixation for the Revision of Failed Bristow-Latarjet

“…12 And then Boileau et al applied this fixation method in the Eden-Hybinette procedure for the revision of failed Bristow-Latarjet. 5 Although several studies have shown the advantages of using suture button fixation in the Bristow-Latarjet or Eden-Hybinette procedure, [13][14][15]19,20 there are also studies showing that it might have a higher redislocation rate compared to screw fixation. 21 The main concern about suture button fixation is its inferior biomechanical strength.…”

Arthroscopic Autologous Iliac Bone Grafting With Double-Row Elastic Fixation and Double Antirotating Anchors for Recurrent Anterior Shoulder Dislocation With Massive Glenoid Bone Defect

“…Surgical methods of bony reconstruction for treating recurrent anterior shoulder dislocation include the Latarjet, Bristow, and Eden Hybinette methods, which require open or arthroscopic surgery. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 Exposing the anterior glenoid during open surgery is associated with an increased risk of muscle and nerve damage, affecting patient prognosis. 8 , 9 , 12 , 13 In contrast, arthroscopy allows for clear visualization of the bone block in relation to the glenoid, allowing the bone block to be precisely placed.…”