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Saliken D, Lavoué V, Trojani C, et al. Combined All-arthroscopic Hill-Sachs Remplissage, Latarjet, and Bankart Repair in Patients With Bipolar Glenohumeral Bone Loss. Arthrosc Tech. 2017;6(5):e2031-e2037doi: 10.1016/j.eats.2017.08.001.
Saliken, D., Lavoué, V., Trojani, C., Gonzalez, J. F., & Boileau, P. (2017). Combined All-arthroscopic Hill-Sachs Remplissage, Latarjet, and Bankart Repair in Patients With Bipolar Glenohumeral Bone Loss. Arthroscopy techniques, 6(5), e2031-e2037. https://doi.org/10.1016/j.eats.2017.08.001
Saliken, David, et al. "Combined All-arthroscopic Hill-Sachs Remplissage, Latarjet, and Bankart Repair in Patients With Bipolar Glenohumeral Bone Loss." Arthroscopy techniques vol. 6,5 (2017): e2031-e2037. doi: https://doi.org/10.1016/j.eats.2017.08.001
Saliken D, Lavoué V, Trojani C, Gonzalez JF, Boileau P. Combined All-arthroscopic Hill-Sachs Remplissage, Latarjet, and Bankart Repair in Patients With Bipolar Glenohumeral Bone Loss. Arthrosc Tech. 2017 Oct 30;6(5):e2031-e2037. doi: 10.1016/j.eats.2017.08.001. eCollection 2017 Oct. PMID: 29399470; PMCID: PMC5795097.
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Arthrosc Tech. 2017 Oct 30;6(5):e2031-e2037. doi: 10.1016/j.eats.2017.08.001. eCollection 2017 Oct.

Combined All-arthroscopic Hill-Sachs Remplissage, Latarjet, and Bankart Repair in Patients With Bipolar Glenohumeral Bone Loss.

Arthroscopy techniques

David Saliken, Vincent Lavoué, Christophe Trojani, Jean-François Gonzalez, Pascal Boileau

Affiliations

  1. iULS (Institut Universitaire Locomoteur & Sport), Hôpital Pasteur 2, University of Nice Sophia-Antipolis, Nice, France.

PMID: 29399470 PMCID: PMC5795097 DOI: 10.1016/j.eats.2017.08.001

Abstract

Patients presenting with recurrent shoulder instability and bipolar glenohumeral bone loss are at risk of failed standard soft-tissue repair techniques. Even isolated bony-stabilization procedures such as the Latarjet or remplissage technique may not provide sufficient stability in the face of combined bone loss. We use a combined all-arthroscopic remplissage, Latarjet, and Bankart repair for patients with significant combined glenohumeral bone loss and/or in the revision setting. This allows reconstruction of both the Hill-Sachs and glenoid bone defects and repair of the capsulolabral complex in a minimally invasive manner. Furthermore, the use of cortical-button fixation of the coracoid bone graft may reduce the risk of hardware-related complications while still achieving excellent bone union.

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