Conjoined Tendon Transfer for Traumatic Anterior Glenohumeral Instability in Patients With Large Bony Defects and Anterior Capsulolabral Deficiency

Douoguih, Wiemi A.; Goodwin, David; Churchill, Ryan; Paulus, Megan Carroll; Maxwell, Abby

doi:10.1016/j.arthro.2017.06.044

Cited by 20 publications

(15 citation statements)

References 27 publications

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“…1,3,8,15-17,23,26,29,32-34,36,41,43,45,46,48,54,57,62,64,66-70,74-79,82,84 c Open bone. 6,8,14,20,31,35,37,44,51-53,79,80,84 d Arthroscopic bone. 20,21,35,38,51,83 e Arthroscopic soft tissue and remplissage.…”

Section: Resultsmentioning

confidence: 99%

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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Background: The surgical treatment of recurrent shoulder instability has evolved in recent years to include a variety of soft tissue and bone block procedures, undertaken with either an open or arthroscopic approach. Although the utilization of such techniques has rapidly expanded, the associated risk of complications remains poorly defined. This information is vital for clinical decision making and patient counseling. Purpose: To quantify the complication rate associated with all types of surgery for anterior glenohumeral joint dislocation. Study Design: Systematic review. Methods: A systematic search was undertaken of studies reporting complications from anterior shoulder stabilization surgery. Inclusion criteria were studies published in English between 2000 and 2017 with a minimum 2-year follow-up. Methodological quality of the included studies was assessed with the Methodological Index for Non-Randomized Studies criteria. Complication rates for all undesirable events contributing to the patient outcome were extracted and cumulative rates calculated. Results: Out of 1942 references, 56 studies were included, totaling 4362 procedures among 4336 patients. Arthroscopic soft tissue repair had a complication rate of 1.6% (n = 2805). When repair was combined with arthroscopic remplissage, the rate was 0.5% (n = 219). Open soft tissue repair had a complication rate of 6.2% (n = 219) and open labral repair with remplissage, a rate of 2.3% (n = 79). An open bone block procedure had a complication rate of 7.2% (n = 573) and an arthroscopic bone block procedure, a rate of 13.6% (n = 163). Conclusion: This large systematic review demonstrates the overall complication rates (not purely recurrence rates) in modern shoulder stabilization surgery. With the growing interest in bone block stabilization procedures, including those performed arthroscopically, surgeons should be aware of the 10-fold increase in complications for these procedures over soft tissue arthroscopic surgery and counsel their patients accordingly.

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Section: Resultsmentioning

confidence: 99%

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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“…7 Intraoperative assessment adds to identifying potential articular injuries that can place the surgical procedure at risk for failure. 8 Douoguih, Goodwin, Churchill, Paulus, and Maxwell in the article "Conjoined Tendon Transfer for Traumatic Anterior Glenohumeral Instability in Patients With Large Bony Defects and Anterior Capsulolabral Deficiency" 9 have modified the bone block transfer by creating a surgical procedure that transfers the conjoined tendon without the bone, allowing for suture anchor fixation. This procedure can be performed as an open procedure or arthroscopically performed.…”

Section: See Related Article On Page 12mentioning

confidence: 99%

Editorial Commentary: We Need to Customize Surgical Treatment When Treating Patients With Recurrent Anterior Shoulder Instability

Abrams

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Surgical repair of shoulder instability is challenging, and multiple procedures have been proposed. In an attempt to reduce risk of recurrence following surgical reconstruction, some surgeons have added steps to prior arthroscopic procedures, and other surgeons have selected a bone reinforcement procedure. These additional augmented repair techniques have reduced the risk of postoperative recurrence, but introduced additional risk of complications related to hardware, fixation, and possible need for additional surgery. Surgeons should become familiar with multiple surgical procedures to treat patients with recurrent shoulder instability, and select the appropriate procedure that addresses the demands of the athlete's shoulder and minimize the risk of complication.

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“…28 Considering the good clinical results with small bone blocks as in the Bristow procedure, 20 is bone reconstruction necessary or could an isolated sling effect give similar results, as proposed recently by Collin and Lädermann in Arthroscopy Techniques and by Douoguih, Goodwin, Churchill, Paulus, and Maxwell in Arthroscopy? 29,30 All these debates and open questions may remain unanswered for even the younger shoulder surgeons through the rest of their careers, as there still is a substantial amount of work to be done to make the wheel rounder.…”

Section: See Related Article On Page 2128mentioning

confidence: 99%

Editorial Commentary: Arthroscopic Latarjet Shoulder Stabilization: Where Are We? Where Are We Going?

Lädermann

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Arthroscopic Latarjet procedure has shown satisfactory clinical outcomes in the treatment of anteroinferior shoulder instability. Although as of today there is no proven advantage of the arthroscopic procedure over an open one, it is too early to give up. At the same time, crucial to understand the causes of failure, to find the solutions to every single difficulty to simplify this surgery and to make it as accessible as possible.

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Conjoined Tendon Transfer for Traumatic Anterior Glenohumeral Instability in Patients With Large Bony Defects and Anterior Capsulolabral Deficiency

Cited by 20 publications

References 27 publications

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

Editorial Commentary: We Need to Customize Surgical Treatment When Treating Patients With Recurrent Anterior Shoulder Instability

Editorial Commentary: Arthroscopic Latarjet Shoulder Stabilization: Where Are We? Where Are We Going?

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