Clinical Outcomes and Recurrence Rates After Arthroscopic Stabilization Procedures in Young Patients With a Glenoid Bone Erosion: A Comparative Study Between Glenoid Erosion More and Less Than 20%

Park, In; Park, Chan Jae; Lee, Sanghyeon; Hyun, Hwan Sub; Park, Jin Young; Shin, Sang-Jin

doi:10.1016/j.arthro.2018.03.009

Cited by 10 publications

(17 citation statements)

References 28 publications

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“…The critical amount of glenoid bone loss was initially thought to be 25%. 3,4 Now it is recognized that bone loss is important to identify on both the glenoid and humerus and that there may be a relationship between these, such as the on-track/off-track measurements described by Di Giacomo et al 5 The controversy that Park, Park, Lee, Hyun, Park, and Shin 6 address in their paper titled "Clinical Outcomes and Recurrence Rates…”

Section: See Related Article On Page 2287mentioning

confidence: 99%

“…Park et al 6 retrospectively compared 32 patients with greater than 20% glenoid bone loss (mean of 22.1%) with 129 patients with less than 20% glenoid bone loss (mean of 12.2%). The authors carefully selected their study population to ensure they could analyze the effect of an arthroscopic Bankart repair on patients with significant bone loss compared with those without.…”

Section: After Arthroscopic Stabilization In Young Patients With Glenmentioning

confidence: 99%

“…Bankart "Plus" Procedures Park et al 6 consider a 15.6% recurrence rate in young patients with glenoid bone loss greater than 20% to be a satisfactory recurrence rate at about 3 years after surgery but recognize that this is inferior to patients with glenoid bone loss less than 20%. We agree that their recurrence rate using an arthroscopic Bankart technique in patients with bone loss is good compared with the published literature.…”

Section: After Arthroscopic Stabilization In Young Patients With Glenmentioning

confidence: 99%

“…Bankart plus procedures can also include remplissage, and improved success has been described in the literature. 10 Park et al 6 performed remplissage only on patients that demonstrated engagement of Hill-Sachs after a completed Bankart repair. All patients in the large bone loss group had a Hill-Sachs, but only 3 patients (10% of this group) demonstrated an engaging lesion after the Bankart repair.…”

Section: Bankart Plus Remplissagementioning

confidence: 99%

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Editorial Commentary: Using Bankart “Plus” Techniques to Tackle Anterior Shoulder Instability With Bone Loss: Can Newer Arthroscopic Adjuncts Provide Long-Term Stability?

Gordey¹,

Wong²

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The debate between arthroscopic Bankart repair versus the Latarjet technique for patients with anterior shoulder instability largely hinges on the argument between redislocation rate versus complication rate. This difference becomes more apparent when considering patients with bone loss. We believe that Bankart "plus" techniques, including arthroscopic anatomic bone grafting, create a stable shoulder with a low instability recurrence rate, while maintaining a complication rate comparable to the Bankart repair.

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Section: See Related Article On Page 2287mentioning

confidence: 99%

Section: After Arthroscopic Stabilization In Young Patients With Glenmentioning

confidence: 99%

Section: After Arthroscopic Stabilization In Young Patients With Glenmentioning

confidence: 99%

Section: Bankart Plus Remplissagementioning

confidence: 99%

See 2 more Smart Citations

Editorial Commentary: Using Bankart “Plus” Techniques to Tackle Anterior Shoulder Instability With Bone Loss: Can Newer Arthroscopic Adjuncts Provide Long-Term Stability?

Gordey¹,

Wong²

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…R ecent emphasis has been placed on high failures rates at mid-to long-term follow-up after arthroscopic soft tissue stabilization. 1,2 As a result there has been increasing interest in bone augmentation for recurrent anterior shoulder instability and, more specifically, Latarjet coracoid transfer. Although an open approach remains the primary choice for most surgeons performing Latarjet, arthroscopic techniques have received increasing attention, particularly in Europe.…”

mentioning

confidence: 99%

Editorial Commentary: Arthroscopic Latarjet: Is It Ready for Prime Time?

Verma¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Latarjet coracoid transfer has traditionally been performed utilizing an open approach in patients with recurrent instability and significant glenoid bone (i.e. >20%). Recent literature has examined clinical outcomes after arthroscopic Latarjet using suture button fixation, demonstrating low recurrence and complication rates when performed by an experienced senior surgeon. Despite demonstrating specific technical and outcome advantages, the arthroscopic approach has previously been shown to be limited by a steep learning curve and complications rates unaffected by surgical experience. These limitations should be addressed prior to widespread adoption.

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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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Clinical Outcomes and Recurrence Rates After Arthroscopic Stabilization Procedures in Young Patients With a Glenoid Bone Erosion: A Comparative Study Between Glenoid Erosion More and Less Than 20%

Cited by 10 publications

References 28 publications

Editorial Commentary: Using Bankart “Plus” Techniques to Tackle Anterior Shoulder Instability With Bone Loss: Can Newer Arthroscopic Adjuncts Provide Long-Term Stability?

Editorial Commentary: Using Bankart “Plus” Techniques to Tackle Anterior Shoulder Instability With Bone Loss: Can Newer Arthroscopic Adjuncts Provide Long-Term Stability?

Editorial Commentary: Arthroscopic Latarjet: Is It Ready for Prime Time?

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

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