[Translated article] Arthroscopic bone block metal-free fixation for anterior shoulder instability. Short-term functional and radiological outcomes

Hachem, Abdul-ilah; Carmen-Rodriguez, Marcos Del; Rafael, Rondanelli S; Ríus, Xavier; Molina-Creixell, Andrés; Pastor, Pablo Cañete San; Hernández-Gañan, Javier; Cabo, Francisco Javier

doi:10.1016/j.recot.2021.05.011

Cited by 10 publications

(18 citation statements)

References 27 publications

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“… 21 , 28 , 29 Most often, osteolysis happens in the superficial zone of the graft which is outside the best fit circle and theoretically remains unloaded. 12 , 30 This ultimately leads to the prominence of the metallic implants, which causes subscapularis irritation and humeral head impingement. Bioabsorbable screws, in contrast, have shown an unacceptably high rate of graft osteolysis.…”

Section: Discussionmentioning

confidence: 99%

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Open Latarjet with Metal-Free Cerclage Fixation

Hachem¹,

Lin²,

Ixtacuy³

et al. 2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

“… 9 This metal-free coracoid cerclage fixation using a mini-open approach can provide a safe and effective construct and avoids metal-induced and neurologic complications associated with the traditional procedure. 11 , 12 …”

mentioning

confidence: 99%

Open Latarjet with Metal-Free Cerclage Fixation

Hachem¹,

Lin²,

Ixtacuy³

et al. 2023

Arthroscopy Techniques

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“…Postoperative CT scans demonstrated over 95% consolidation of the grafts at the glenoid margin. 30 Although further clinical evaluation is required to determine whether the technique reduces the need for hardware removal, it appears that graft healing is obtainable in the majority of cases with this type of technique. With a biomechanical study, we cannot make a conclusion about the use of distal tibia versus other free bone block sources.…”

Section: Discussionmentioning

confidence: 99%

The Addition of Remplissage to Free Bone Block Restores Translation and Stiffness Compared to Bone Block Alone or Latarjet in a Bipolar Bone Loss Model

Callegari

McGarry

Crook

et al. 2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…To gain the needed bony material, a tricortical crest bone block is harvested from the ipsilateral side using an oscillating saw. The block should have an approximate size of 25 3 10 3 10 mm 3 . Finally, the wound can be closed in a standard fashion.…”

Section: Video Transcriptmentioning

confidence: 99%

“…The functional scores showed good outcomes and there were no serious complications reported. 3 However, long-term results still need to be evaluated in future investigations.…”

Section: Video Transcriptmentioning

confidence: 99%

Metal-Free Fixation for Free Bone-Block Reconstruction of Chronic Anteroinferior Shoulder Instability

Scheibel

Lorenz

2022

Video Journal of Sports Medicine

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Background: Anterior shoulder instability is common and may cause a considerable effect on quality of life. For cases with glenoid bone loss, there is still a controversial discussion regarding the optimal treatment. Most of the recent methods are using metal implants to attach the needed graft to the glenoid with reported disadvantages such as metal impingement, damage to the humeral head, cartilage destruction, and premature arthritis. Indications: (1) Erosion-type defects with significant bone loss (>15%-20%); (2) chronic fragment-type defects if the size of the fragment is not large enough for an anatomical reconstruction; and (3) non-reconstructible, multifragmented acute fragment type of lesions. Technique Description: After placing the patient in a lateral decubitus position and fixing the arm in a traction devise, 3 arthroscopic entries are established: a posterior portal, an anterosuperior portal, and an anteroinferior portal. A harvested tricortical iliac crest bone graft is provided with 2 drilling holes which match the drilling holes through the glenoid. The tapes are then placed from the posterior to the anterior side of the glenoid, and then the graft is passed from the anterior to the posterior side, thus compressing the cancellous side of the bone block onto the glenoid defect. A following interconnection of the sutures creates a continuous loop. The end of the tapes was loaded into a pretied racking hitch knot system, which creates sliding knots between the 2 pair of tapes, whereon the knots can be reduced to the glenoid in a symmetrical fashion. Finally, the reconstruction of the anterosuperior labrum can be done, to cover the bone block with enough soft tissue. Results: First short-term results show radiographic consolidation after 3 months and an increased median glenoid estimated surface area at 12 months. The functional scores showed good outcomes, and there were no serious complications reported. Discussion/Conclusion: The presented arthroscopic reconstruction of the glenoid using a tricortical bone graft and high-strength fiber tapes provides a metal-free technique which results in a high primary stability of the construct and should therefore be considered when treating anterior shoulder instability with significant bone loss.

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[Translated article] Arthroscopic bone block metal-free fixation for anterior shoulder instability. Short-term functional and radiological outcomes

Cited by 10 publications

References 27 publications

Open Latarjet with Metal-Free Cerclage Fixation

Open Latarjet with Metal-Free Cerclage Fixation

The Addition of Remplissage to Free Bone Block Restores Translation and Stiffness Compared to Bone Block Alone or Latarjet in a Bipolar Bone Loss Model

Metal-Free Fixation for Free Bone-Block Reconstruction of Chronic Anteroinferior Shoulder Instability

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