Remplissage Yields Similar 2-Year Outcomes, Fewer Complications, and Low Recurrence Compared to Latarjet Across a Wide Range of Preoperative Glenoid Bone Loss

Horinek, Jeffrey L.; Menendez, Mariano E.; Narbona, Pablo; Lädermann, Alexandre; Barth, Johannes; Denard, Patrick J.

doi:10.1016/j.arthro.2022.03.031

Cited by 34 publications

(31 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent, large-scale retrospective study of 258 patients which included 70 patients who underwent primary remplissage for recurrent shoulder instability found a return to sport rate of 91.5% in overhead and contact athletes 5 . Notably, in the group of patients who underwent Latarjet, the return to sports rate was only 72.7% 5 . Subset analysis of rate of return to throwing sports such as basketball, baseball, and football found lower rates of 65.5%, largely because of patient-reported decreases in range of motion (ROM) during throwing and winding motions 44 .…”

Section: Discussionmentioning

confidence: 99%

“…Risks of postoperative complications, however, are known to be higher with the Latarjet procedure when compared with Bankart repair with remplissage 4,5,37,40,41 . Horinek et al 5 retrospectively compared 188 Latarjets and 70 remplissages at a minimum follow-up of 2 years postoperatively. Despite greater bipolar bone loss in the remplissage group, there was no difference in postoperative dislocation (3.2% for Latarjet and 1.4% for remplissage; p = 0.68).…”

Section: Discussionmentioning

confidence: 99%

“…JSES Open Access. 2019;3(1):25-28. repair with remplissage 4,5,37,40,41 . Horinek et al 5 retrospectively compared 188 Latarjets and 70 remplissages at a minimum follow-up of 2 years postoperatively.…”

Section: Remplissage Vs Latarjetmentioning

confidence: 99%

“…Reported rates of return to sports are excellent after remplissage. A recent, large-scale retrospective study of 258 patients which included 70 patients who underwent primary remplissage for recurrent shoulder instability found a return to sport rate of 91.5% in overhead and contact athletes 5 . Notably, in the group of patients who underwent Latarjet, the return to sports rate was only 72.7% 5 .…”

Section: High-risk Populations and Overhead Athletesmentioning

confidence: 99%

See 3 more Smart Citations

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Hwang

Horinek²,

Ardebol

et al. 2022

JBJS Reviews

Self Cite

View full text Add to dashboard Cite

A Hill-Sachs lesion (HSL) is a compression fracture on the posterolateral humeral head that can increase the risk of recurrent shoulder instability after isolated arthroscopic Bankart repair.» Remplissage involves capsulotenodesis of the infraspinatus tendon and posterior capsule into the HSL to prevent its engagement with the glenoid rim through extra-articular conversion and restraint against humeral head anterior translation.» The glenoid track concept can be applied preoperatively and intraoperatively to evaluate risk of recurrence and help direct clinical management options for recurrent shoulder instability.» Recent literature supports expanding indications for remplissage to include patients with on-track HSLs who are at increased risk of recurrence including collision athletes, military personal, and patients with joint hyperlaxity.» New techniques and suture constructs have demonstrated improved biomechanical strength while avoiding the need to access the subacromial space.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Remplissage Vs Latarjetmentioning

confidence: 99%

Section: High-risk Populations and Overhead Athletesmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Hwang

Horinek²,

Ardebol

et al. 2022

JBJS Reviews

Self Cite

View full text Add to dashboard Cite

show abstract

“…Finally, additional glenohumeral stability can be restored at end range of motion by a capsulolabral reconstruction [15]. The Latarjet procedure was further reported to enable early return to sport compared to capsulolabral repair [16,17]. However, the downsides are potential fracture and malunion of the coracoid bone graft along with reported stiffness secondary to the subscapularis split [18][19][20][21], and lower postoperative external rotation [16].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Is sling immobilization necessary after open Latarjet surgery for anterior shoulder instability? A randomized control trial

Goetti

Tiago

Seurot

et al. 2023

Trials

Self Cite

View full text Add to dashboard Cite

Background There is a current lack of knowledge regarding optimal rehabilitation and duration of sling immobilization after an open Latarjet procedure. A shift towards immediate self-rehabilitation protocols in shoulder surgery is observed to avoid postoperative stiffness and fasten return to sport. Avoiding sling immobilization could further simplify rehabilitation and provide an even faster return to activities of daily living and enhance patient satisfaction. Methods This study is a single-center, randomized control trial. Sixty-eight patients will be instructed with the same standardized immediate postoperative self-rehabilitation protocol. Patients will be allocated 1:1 between a sling immobilization group for the first three postoperative weeks and no sling group without postoperative immobilization. The primary endpoint will be functional outcome at 6 months postoperative evaluated by the disease-specific Rowe score. Secondary endpoints will include baseline, 1.5-, 6-, and 12-month single assessment numeric evaluation (SANE) of instability score and visual analog pain scale (VAS). At the 6-month time point, graft bony union and position will be assessed by computed tomography. Motion capture technology will evaluate the baseline and 6-month postoperative range of motion. Finally, time to return to work and sport during the first postoperative year, along with patient satisfaction at one postoperative year, will also be recorded. Discussion This study will allow further insights into the optimal rehabilitation protocol after open Latarjet surgery and enhance patient care by helping identify rehabilitation and coracoid graft-related factors influencing functional outcomes, bony union, range of motion, and patient satisfaction. Trial registration The protocol was approved by the ethical committee board (CCER 2019–02,469) in April 2020 and by ClinicalTrials.gov (Identifier: NCT04479397) in July 2020.

show abstract

Empfehlung für Fragebögen zur Untersuchung der Schultergelenkfunktion vom Research-Komitee der AGA

et al. 2023

View full text Add to dashboard Cite

ZusammenfassungIn der Orthopädie und Unfallchirurgie hat die Bedeutung von PROMs („patient-reported outcome measures“) nicht nur klinisch und akademisch, sondern auch gesundheitspolitisch enorm zugenommen. Am Schultergelenk existieren zahlreiche solcher Messinstrumente, sodass für den Vergleich in Wissenschaft und Klinik eine einheitliche Verwendung geeigneter PROMs zu empfehlen ist. Ein PROM sollte wissenschaftliche Kriterien (u. a. Reliabilität, Validität, Responsiveness) erfüllen sowie in der jeweiligen Landessprache und nicht nur für die jeweilige Pathologie validiert sein. Zudem sollten Daten zur „minimal clinically important difference“ (MCID) vorliegen, um Ergebnisse nicht nur hinsichtlich ihrer statistischen Signifikanz, sondern auch der klinischen Relevanz beurteilen zu können. Ziel dieser Arbeit war es, für relevante Pathologien des Schultergelenks jeweils einen PROM zu empfehlen, der die o. g. Kriterien am besten erfüllt. Für das Schultergelenk werden dabei vom Research-Komitee der AGA unter Berücksichtigung dieser Kriterien folgende PROMs empfohlen: Constant-Murley-Score (CMS) für die Omarthrose bzw. Schulterendoprothetik, Western Ontario Stability Index (WOSI) für glenohumerale Instabilitäten und Western Ontario Rotator Cuff Index (WORCI) für Pathologien des Subakromialraums bzw. von Rotatorenmanschettenläsionen. Der Nottingham Clavicle Score (NCS) stellt ein geeignetes Instrument für die Klavikula sowie die angrenzenden Gelenke (Akromioklavikular- und Sternoklavikulargelenk) dar. Diese empfohlenen PROMs decken eine große Bandbreite an Schulterpathologien ab, sind bzgl. obiger Kriterien qualitativ hochwertig und für die deutsche Sprache validiert.

show abstract

Remplissage Yields Similar 2-Year Outcomes, Fewer Complications, and Low Recurrence Compared to Latarjet Across a Wide Range of Preoperative Glenoid Bone Loss

Cited by 34 publications

References 33 publications

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Is sling immobilization necessary after open Latarjet surgery for anterior shoulder instability? A randomized control trial

Empfehlung für Fragebögen zur Untersuchung der Schultergelenkfunktion vom Research-Komitee der AGA

Contact Info

Product

Resources

About