Recurrent anterior dislocation after the Latarjet procedure: Outcome after revision using a modified Eden-Hybinette operation

We assessed the results of the modified Eden-Hybinette operation as a salvage procedure after failure of an index Latarjet. Outcomes, complications, and evidence of arthritis of the glenohumeral joint were evaluated in 46 patients. Thirty-four (74%) were clinically and radiologically assessed at a m...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2008-09, Vol.17 (5), p.744-750
Main Authors: Lunn, John V., FRCSI, (Tr & Orth), Castellano-Rosa, Juan, MD, Walch, Gilles, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Diseases of the osteoarticular system
Female
Humans
Male
Medical sciences
Middle Aged
Orthopedic Procedures - methods
Orthopedics
Secondary Prevention
Shoulder Dislocation - prevention & control
Shoulder Dislocation - surgery
Shoulder Joint - surgery
Treatment Failure
Treatment Outcome
Young Adult
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Summary:We assessed the results of the modified Eden-Hybinette operation as a salvage procedure after failure of an index Latarjet. Outcomes, complications, and evidence of arthritis of the glenohumeral joint were evaluated in 46 patients. Thirty-four (74%) were clinically and radiologically assessed at a mean of 6.8 years (range, 2-17 years). Good or excellent results were recorded in 27 of the 34 patients (79%). Four patients had another dislocation, and 2 became recurrent dislocators. One required an arthrodesis. Thirteen complained of a sensation of persistent apprehension. Twenty-three (68%) returned to their predislocation level of sport. Two gave up sports entirely. Radiographic evidence of arthritis was present in 6 (18%) before revision surgery. At final review, 10 (29%) had glenohumeral arthritis, graded as moderate or severe in 6 patients. Recurrence after an initial Latarjet procedure may be successfully treated by the modified Eden-Hybinette procedure. Patients may still experience a sensation of apprehension, but this does not appear to be clinically significant.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2008.03.002