Arthroscopic Bankart Repair With Remplissage as an Alternative to Latarjet for Anterior Glenohumeral Instability With More Than 15% Glenoid Bone Loss

被引:21
作者
Horinek, Jeffrey L. [1 ]
Menendez, Mariano E. [2 ]
Narbona, Pablo [3 ]
Ladermann, Alexandre [4 ]
Barth, Johannes [5 ]
Denard, Patrick J. [2 ]
机构
[1] Salina Ortho, Salina, KS USA
[2] Oregon Shoulder Inst, Medford, OR 97504 USA
[3] Sanatorio Allende, Dept Shoulder Surg & Arthroscopy, Cardoba, Argentina
[4] Geneva Univ Hosp, Div Orthoped & Trauma Surg, Geneva, Switzerland
[5] Clin Cedres, Dept Orthoped Surg, Echirolles, France
关键词
shoulder instability; glenohumeral dislocation; Bankart; remplissage; Latarjet; glenoid bone loss; Hill-Sachs lesion; on-track; off-track; HILL-SACHS LESION; SHOULDER INSTABILITY; OFF-TRACK; STABILIZATION; DEFECTS; MANAGEMENT; STABILITY; DIAGNOSIS; RANGE;
D O I
10.1177/23259671221142257
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Surgical management of anterior shoulder instability continues to evolve. The clinical effectiveness of arthroscopic Bankart repair with remplissage (REMP) in patients with increasing glenoid bone loss (GBL) has not been thoroughly compared with Latarjet. Purpose/Hypothesis: The purpose of this study was to compare 2-year outcomes of REMP versus open Latarjet in patients with >15% GBL. We hypothesized that there would be no difference. Study Design: Cohort study; Level of evidence, 3. Methods: A multicenter, retrospective study was performed on a consecutive series of patients who underwent primary REMP or Latarjet by 4 shoulder specialists between August 2013 and December 2019 for >15% GBL. Procedure performance was based on shared decision making between the surgeon and patient. Baseline and 2-year postoperative range of motion (ROM) and the following patient-reported outcomes (PROs) were collected: Western Ontario Shoulder Instability Index, Single Assessment Numeric Evaluation, and visual analog scale for pain. Return to sport, satisfaction, complications, recurrence, and revisions were reviewed. Results: A total of 47 patients were available for study, including 22 who underwent REMP and 25 who underwent Latarjet. Baseline demographic characteristics, ROM, and PROs were similar between the groups. Mean preoperative GBL (REMP 25.8% +/- 7.8% vs Latarjet 25.1% +/- 9.0%; P = .800) and off-track lesions (REMP 59.1% vs Latarjet 44.0%; P = .302) were similar. Postoperative change in external rotation favored Latarjet (10 degrees +/- 22 degrees vs -4 degrees +/- 13 degrees; P = .017). Postoperative PROs, return to the sports (86.4% vs 87.5%; P = .99), and satisfaction (95.5% vs 95.8%; P = .99) were similar between groups. There were no recurrent dislocations in either group. One infected hematoma was encountered in the Latarjet cohort. Conclusion: At short-term follow-up, the hypothesis was upheld. REMP and Latarjet provided similar outcomes for patients with >15% GBL, although REMP patients experienced slightly decreased external rotation. Although larger series and longer-term follow-ups are required, remplissage may be considered in patients with >15% glenoid bone loss.
引用
收藏
页数:6
相关论文
共 41 条
[1]   Return to Sport After Surgical Treatment for Anterior Shoulder Instability: A Systematic Review [J].
Abdul-Rassoul, Hussein ;
Galvin, Joseph W. ;
Curry, Emily J. ;
Simon, Jason ;
Li, Xinning .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2019, 47 (06) :1507-1515
[2]  
Abouelsoud MM, 2015, Eur Orthop Traumatol, V6, P151, DOI [10.1007/s12570-015-0313-3, DOI 10.1007/S12570-015-0313-3/METRICS]
[3]   The biomechanical effect of shoulder remplissage combined with Bankart repair for the treatment of engaging Hill-Sachs lesions [J].
Argintar, Evan ;
Heckmann, Nathanael ;
Wang, Lawrence ;
Tibone, James E. ;
Lee, Thay Q. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2016, 24 (02) :585-592
[4]   Chronic anterior shoulder instability with significant Hill-Sachs lesion: Arthroscopic Bankart with remplissage versus open Latarjet procedure [J].
Bah, A. ;
Lateur, G. M. ;
Kouevidjin, B. T. ;
Bassinga, J. Y. S. ;
Issa, M. ;
Jaafar, A. ;
Beaudouin, E. .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2018, 104 (01) :17-22
[5]   The instability severity index score [J].
Balg, F. ;
Boileau, P. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2007, 89B (11) :1470-1477
[6]   Arthroscopic Bankart-Bristow-Latarjet (2B3) Procedure: How to Do It and Tricks To Make it Easier and Safe [J].
Boileau, Pascal ;
Mercier, Numa ;
Old, Jason .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 2010, 41 (03) :381-+
[7]   Trends in Surgical Management of Shoulder Instability [J].
Bonazza, Nicholas A. ;
Liu, Guodong ;
Leslie, Douglas L. ;
Dhawan, Aman .
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, 2017, 5 (06)
[8]   Arthroscopic Versus Open Anterior Shoulder Stabilization: A Prospective Randomized Clinical Trial With 15-Year Follow-up With an Assessment of the Glenoid Being "On-Track" and "Off-Track" as a Predictor of Failure [J].
Bottoni, Craig R. ;
Johnson, John D. ;
Zhou, Liang ;
Raybin, Sarah G. ;
Shaha, James S. ;
Cruz, Christian A. ;
Lindell, Kenneth K. ;
Thoma, David C. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2021, 49 (08) :1999-2005
[9]   Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion [J].
Burkhart, SS ;
De Beer, JF .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2000, 16 (07) :677-694
[10]   Results of modified latarjet anteroinferior instability reconstruction in patients with and significant bone loss [J].
Burkhart, Stephen S. ;
De Beer, Joe F. ;
Barth, Johannes R. H. ;
Criswell, Tim ;
Roberts, Chris ;
Richards, David P. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (10) :1033-1041