Arthroscopic anatomic glenoid reconstruction using an autologous iliac crest bone grafting technique

Kraus, Natascha; Amphansap, Tanawat; Gerhardt, Christian; Scheibel, Markus

doi:10.1016/j.jse.2014.03.004

Cited by 79 publications

(109 citation statements)

References 19 publications

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“…6 Other authors have described and reported bone block procedures for anteroinferior glenohumeral instability, but our technique is the first performed entirely arthroscopically without the use of screws. [7][8][9][10][11] The well-established advantages of using arthroscopy for shoulder stabilization include smaller incisions with less soft-tissue dissection and improved ability to completely inspect the glenohumeral joint and access all areas of the joint for repair, as well as preservation of external rotation. In case of mechanical inconsistency or absence of the soft tissues, it is possible to switch to an arthroscopically assisted Latarjet procedure that we have recently described.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bone Graft Procedure for Anterior Inferior Glenohumeral Instability

Taverna

D’Ambrosi

Perfetti

et al. 2014

Arthroscopy Techniques

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There are many described surgical techniques for the treatment of recurrent anterior shoulder instability. Numerous authors have performed anterior bone block procedures with good results for the treatment of anterior shoulder instability with glenoid bone loss. The benefits of using arthroscopic procedures for surgical stabilization of the shoulder include smaller incisions with less soft-tissue dissection, better visualization of the joint, better repair accessibility, and the best possible outcome for external rotation. We describe an arthroscopic anteroinferior shoulder stabilization technique with an iliac crest tricortical bone graft and capsulolabral reconstruction. It is an all-arthroscopic technique with the advantage of not using fixation devices, such as screws, but instead using special buttons to fix the bone graft. The steps of the operation are as follows: precise placement of a specific posterior glenoid guide that allows the accurate positioning of the bone graft on the anterior glenoid neck; fixation of the graft flush with the anterior glenoid rim using specific buttons under arthroscopic control; and finally, subsequent capsular, labral, and ligament reconstruction on the glenoid rim using suture anchors and leaving the graft as an extra-articular structure.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Bone Graft Procedure for Anterior Inferior Glenohumeral Instability

Taverna

D’Ambrosi

Perfetti

et al. 2014

Arthroscopy Techniques

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“…Then, in addition to labrum repair, they should consider the options of anterior glenoid reconstruction by means of coracoid transfer (i.e. the Bristow and Latarjet procedures) 31 or iliac bone grafting 32 as well as humeral head reconstruction using the remplissage procedure 33 or by transplantation. 34 The number of complications that patients experience could be used in evaluating the safety of a method.…”

Section: Discussionmentioning

confidence: 99%

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

Uchiyama

Handa

Shimpuku

et al. 2017

Journal of Orthopaedic Surgery

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Purpose: Arthroscopic treatment of shoulder instability has some advantages (including short surgical time, less morbidity, less postoperative pain, reduced hospitalization time, and decreased risk of complications) compared with open procedures. We performed a prospective study comparing open repair with arthroscopic repair for recurrent anterior shoulder instability. The aim was to clarify the relative effectiveness of open Bankart repair plus inferior capsular shift (OBRICS) and arthroscopic Bankart (AB) repair without augmentations with approximately 5 years of follow-up. Methods: We investigated 32 shoulders of 30 patients (24 men and 6 women) undergoing OBRICS (15 shoulders of 17 patients; two patients were bilateral) and AB (15 shoulders of 15 patients). The average follow-up was 5 years and 2.5 months (range: 60-66 months). The clinical evaluation included recurrent instability rate, range of motion, and postoperative rehabilitation. All patients were assessed using the scoring systems of Rowe and the University of California at Los Angeles (UCLA) preoperatively and during the final evaluation. Results: Recurrent instability rates were significantly different between the OBRICS (0%) and AB (26.6%) groups (p ¼ 0.022). There were fewer limitations of external rotation (ER), ER at 90 abduction, and horizontal extension for AB than for OBRICS postoperatively (p < 0.05). The mean Rowe and UCLA scores for both methods were not significantly different at final follow-up. Conclusion: Our data suggest that OBRICS leads to a lower rate of recurrent instability. However, those with AB had fewer ER and horizontal extension limitations.

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“…Alternatively to the presented combination of a Latarjet procedure and a Hill-Sachs remplissage, other treatment options with use of allo-and autografts have been described to reconstruct humeral head and anterior glenoid defects. [11][12][13] However, many of these procedures are more invasive and associated with fairly high complication rates including graft resorption or necrosis in up to 30% of cases. 11,13 Similar to the presented surgical technique of a Latarjet procedure combined with a Hill-Sachs remplissage, the level of evidence regarding dual bone grafting for BBL in AGI is limited to case reports.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Remplissage and Open Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability With Severe Bipolar Bone Loss

Katthagen

Anavian

Tahal

et al. 2016

Arthroscopy Techniques

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Bipolar bone loss in patients with anterior glenohumeral instability is challenging to treat. The goal of the treatment is to restore stability by ensuring that the humeral head remains within the glenoid vault. This can be achieved either with the combination of an arthroscopic Bankart procedure and remplissage (glenoid bone loss <25%), or with a Latarjet procedure (glenoid bone loss >25%). In cases with more severe bipolar bone loss of both the glenoid and the humeral head, the conventional approach has been to lengthen the articular arc of the glenoid and to ignore the Hill-Sachs lesion. However, it has recently been shown that this can still lead to an "off-track" situation with persistent shoulder instability from engagement of the Hill-Sachs on the anterior glenoid. In these cases, the combination of a Hill-Sachs remplissage and the Latarjet procedure can be effective in preventing persistent instability. In this technical note, the surgical technique of an arthroscopic Hill-Sachs remplissage in combination with an open Latarjet procedure is presented.

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Arthroscopic anatomic glenoid reconstruction using an autologous iliac crest bone grafting technique

Cited by 79 publications

References 19 publications

Arthroscopic Bone Graft Procedure for Anterior Inferior Glenohumeral Instability

Arthroscopic Bone Graft Procedure for Anterior Inferior Glenohumeral Instability

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

Arthroscopic Remplissage and Open Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability With Severe Bipolar Bone Loss

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