[en] Purpose: To report the results of a guided arthroscopic Eden-Hybbinette procedure, using suture button for
iliac crest bone graft fixation, in a series of patients with a prior failed Latarjet and persistent glenoid bone
loss.
Methods: Seven consecutive patients (5 males, 2 females, mean age: 30.7 years [range, 17-47 years]) with
recurrent anterior dislocations and glenoid deficiency greater than 20% underwent the all-arthroscopic
revision procedure. The iliac crest bone graft and suture-button device (Bone-Link) were shuttled through
the rotator interval. Specific drill guides were used and a suture tensioning device allowed bone graft
compression. Previous broken screw shafts (3 patients) were left in situ. Graft placement and healing was
assessed postoperatively with computed tomography imaging.
Results: No neurologic injury or hardware problems occurred, and no patient required further surgery.
On computed tomography scan, optimal positioning (flush and under the equator) and healing of the
bone graft was observed in all patients. At a mean follow-up of 21 months (range, 12-39 months),
all but one patient were satisfied and had a stable shoulder; 5 returned to sports. The Constant score
increased from 32 to 81 points, and the subjective shoulder value from 31% to 87% (P < .001).
The Walch-Duplay and Rowe scores averaged 85.7 (range, 65-100) points and 86.4 (range, 70-100)
points, respectively.
Conclusion: Recurrence of anterior shoulder instability after a failed Latarjet procedure can be
successfully treated by an all-arthroscopic Eden-Hybbinette procedure. Suture-button fixation is reliable
and permits optimal positioning and predictable healing of the new bone graft; in addition, it is an
appropriate fixation option in the setting of retained broken hardware.
Disciplines :
Surgery
Author, co-author :
Boileau, Pascal; Université de Nice Sofia Antipolis > Orthopédie et sport > iULS - University Institute of Locomotion & Sports
DUYSENS, Christophe ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de chirurgie de la main
Saliken, David
Lemmex, Devin B
Bonnevialle, Nicolas
Language :
English
Title :
All-arthroscopic, guided Eden-Hybbinette procedure using suture-button fixation for revision of failed Latarjet
Alternative titles :
[fr] Opération d'Eden-Hybinette sous arthroscopie pour échec de Latarjet, technique guidée utilisant des suture-boutons
But: rapporter les résultats d'une procédure arthroscopique guidée Eden-Hybbinette, en utilisant des suture-boutons pour fixation du greffon osseux iliaque, dans une série de patients avec un échec de Latarjet et perte de substance glénoïdienne persistante. Méthodes: Sept patients consécutifs (5 hommes, 2 femmes, âge moyen: 30,7 ans [extrêmes, 17-47 ans]) avec des luxations antérieures récurrentes et une déficience glénoïdienne supérieure à 20% ont subi une révision sous arthroscopie. La greffe osseuse de la crête iliaque et le dispositif de bouton de suture (Bone-Link) ont été introduits par l'intervalle des rotateurs. Des guides de forage spécifiques ont été utilisés et un dispositif de tension de suture a permis une greffe osseuse compression. Les vis cassées (3 patients) ont été laissés in situ. La position et la consolidation du greffon étaient évalués en postopératoire par scanner. Résultats: Aucune complication neurologique ni problème de matériel ne sont survenus et aucun patient n'a dû être ré-opéré. Au scanner, le positionnement est optimal (affleurant et sous-équatoriale) et la consolidation osseuse a été observée chez tous les patients. Au recul moyen de 21 mois (12-39 mois), tous les patients sauf un étaient satisfaits et avaient une épaule stable; 5 sont retournés au sport. Le constant a augmenté de 32 à 81 points, et la valeur subjective de l'épaule de 31% à 87% (P <0,001). Les scores Walch-Duplay et Rowe étaient en moyenne de 85,7 points (range, 65-100) et 86,4 (range, 70-100) points, respectivement. Conclusion: la récidive de l'instabilité antérieure de l'épaule après l'échec d'une procédure de Latarjet peut être traité avec succès par une procédure d'Eden-Hybbinette entièrement arthroscopique. La fixation du bouton de suture est fiable et permet un positionnement optimal et une cicatrisation prévisible de la nouvelle greffe osseuse; de plus, c'est un option de fixation appropriée dans le cadre du matériel cassé conservé.
Allain J, Goutallier D, Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am. 1998;80(6):841-852.
Anderl W, Kriegleder B, Heuberer PR. All-arthroscopic implant-free iliac crest bone grafting: new technique and case report. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2012 Jan;28(1):131-137. doi:10.1016/j.arthro.2011.10.027
Beran MC, Donaldson CT, Bishop JY. Treatment of chronic glenoid defects in the setting of recurrent anterior shoulder instability: a systematic review. J Shoulder Elbow Surg. 2010 Jul;19(5):769-780. doi:10.1016/j.jse.2010.01.011
Bessiere C, Trojani C, Carles M, Mehta SS, Boileau P. The open latarjet procedure is more reliable in terms of shoulder stability than arthroscopic bankart repair. Clin Orthop Relat Res. 2014;472(8):2345-2351. doi:10.1007/s11999-014-3550-9
Boileau P, Alami G, Rumian A, Schwartz DG, Trojani C, Seidl AJ. The Doubled-Suture Nice Knot. Orthopedics. 2017;40(2):e382-e386. doi:10.3928/01477447-20161202-05
Boileau P, Gendre P, Baba M, Thelu C-E, Baring T, Gonzalez J-F, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg. 2016;25(1):78-89. doi:10.1016/j.jse.2015.06.001
Boileau P, O'Shea K, Vargas P, Pinedo M, Old J, Zumstein M. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg Am. 2012 Apr 4;94(7):618-626. doi:10.2106/JBJS.K.00101
Boileau P, Richou J, Lisai A, Chuinard C, Bicknell RT. The role of arthroscopy in revision of failed open anterior stabilization of the shoulder. Arthroscopy. 2009;25(10):1075-1084. doi:10.1016/j.arthro.2009.04.073
Boileau P, Thelu C-E, Mercier N, Ohl X, Houghton-Clemmey R, Carles M, et al. Arthroscopic Bristow-Latarjet combined with bankart repair restores shoulder stability in patients with glenoid bone loss. Clin Orthop Relat Res. 2014;472(8):2413-2424. doi:10.1007/s11999-014-3691-x
Boileau P, Villalba M, Hery J-Y, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am. 2006;88(8):1755-1763. doi:10.2106/JBJS.E.00817
Bonnevialle N, Thelu C-E, Bouju Y, Vogels J, Agout C, Duriez P, et al. Arthroscopic Latarjet procedure with double-button fixation: short-term complications and learning curve analysis. J Shoulder Elbow Surg. 2018 Jun;27(6):e189-e195. doi:10.1016/j.jse.2017.12.007
Butt U, Charalambous CP. Complications associated with open coracoid transfer procedures for shoulder instability. J Shoulder Elbow Surg. 2012;21(8):1110-1119. doi:10.1016/j.jse.2012.02.008
Calandra JJ, Baker CL, Uribe J. The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy 1989;5(4):254-257.
Churchill RS, Moskal MJ, Lippitt SB, Matsen FA III. Extracapsular anatomically contoured anterior glenoid bone grafting for complex glenohumeral instability. Techn Shoulder Elbow Surg. 2001 Sep 25;2(3):201-218.
De Palma AF. Surgery in the Shoulder. Philadelphie,PA: Lippincott; 1983.
Dimitriou R, Mataliotakis GI, Angoules AG, Kanakaris NK, Giannoudis PV. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury. 2011 Sep;42 Suppl 2:S3-S15. doi:10.1016/j.injury.2011.06.015
Eden RT. Zur Operation der habituellen Schulterluxation unter Mitteilung eines neues Verfahrens bei Abriss am inneren Pfannenwande. Dtsch Z Chir. 1918 Sep 25;(269):44-53.
Gendre P, Thelu C-E, d'Ollonne T, Trojani C, Gonzalez J-F, Boileau P. Coracoid bone block fixation with cortical buttons: An alternative to screw fixation? Orthop Traumatol Surg Res. 2016;102(8):983-987. doi:10.1016/j.otsr.2016.06.016
Giannakos A, Vezeridis PS, Schwartz DG, Jany R, Lafosse L. All-Arthroscopic Revision Eden-Hybbinette Procedure for Failed Instability Surgery: Technique and Preliminary Results. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2017 Jan;33(1):39-48. doi:10.1016/j.arthro.2016.05.021
Giles JW, Boons HW, Elkinson I, Faber KJ, Ferreira LM, Johnson JA, et al. Does the dynamic sling effect of the Latarjet procedure improve shoulder stability? A biomechanical evaluation. J Shoulder Elbow Surg. 2013;22(6):821-827. doi:10.1016/j.jse.2012.08.002
Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY, et al. Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg. 2013;22(2):286-292. doi:10.1016/j.jse.2012.09.009
Hindmarsh J, Lindberg A. Eden-Hybbinette's operation for recurrent dislocation etc joint Acta Orthop 1967. Acta Orthop Scand. 1967 Dec 21;38:459-478.
Hybbinette S. De la transplantation d“un fragment osseux pour remedier aux luxations recidivantes de l”epaule: constatations et resultats operatoires. Acta Chir Scand. 1932 Jun 5;(71):411-445.
Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000 Jan;82(1):35-46.
Jakobsson A. On recurrent dislocation of the shoulder-joint; a contribution to its pathomechanics and the results of Eden/Hybbinette's bone-block operation. Acta Orthop Scand. 1948;18(3):284-318.
Kraus N, Amphansap T, Gerhardt C, Scheibel M. Arthroscopic anatomic glenoid reconstruction using an autologous iliac crest bone grafting technique. J Shoulder Elbow Surg. 2014 Nov;23(11):1700-1708. doi:10.1016/j.jse.2014.03.004
Ladermann A, Denard PJ, Burkhart SS. Injury of the suprascapular nerve during latarjet procedure: an anatomic study. Arthroscopy. 2012;28(3):316-321. doi:10.1016/j.arthro.2011.08.307
Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy. 2007;23(11):1242.e1-5. doi:10.1016/j.arthro.2007.06.008
Latarjet M. [Treatment of recurrent dislocation of the shoulder]. Lyon Chir. 1954;49(8):994-997.
Levine WN, Arroyo JS, Pollock RG, Flatow EL, Bigliani LU. Open revision stabilization surgery for recurrent anterior glenohumeral instability. Am J Sports Med. 2000 Mar;28(2):156-160.
Lunn JV, Castellano-Rosa J, Walch G. Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybbinette operation. J Shoulder Elbow Surg. 2008 Sep;17(5):744-750. doi:10.1016/j.jse.2008.03.002
Maquieira GJ, Gerber C, Schneeberger AG. Suprascapular nerve palsy after the Latarjet procedure. J Shoulder Elbow Surg. 2007;16(2):e13-e15. doi:10.1016/j.jse.2006.04.001
Meehan RE, Petersen SA. Results and factors affecting outcome of revision surgery for shoulder instability. J Shoulder Elbow Surg. 2005 Jan;14(1):31-37. doi:10.1016/j.jse.2004.05.005
Mizuno N, Denard PJ, Raiss P, Melis B, Walch G. Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg. 2014;23:1691-1699;doi:10.1016/j.jse.2014.02.015
Paavolainen P, Bjorkenheim JM, Ahovuo J, Slatis P. Recurrent anterior dislocation of the shoulder. Results of Eden-Hybbinette and Putti-Platt operations. Acta Orthop Scand. 1984 Oct;55(5):556-560.
Petre BM, Smith SD, Jansson KS, de Meijer P-P, Hackett TR, LaPrade RF, et al. Femoral cortical suspension devices for soft tissue anterior cruciate ligament reconstruction: a comparative biomechanical study. Am J Sports Med. 2013 Feb;41(2):416-422. doi:10.1177/0363546512469875
Provencher MT, Aman ZS, LaPrade CM, Bernhardson AS, Moatshe G, Storaci HW, et al. Biomechanical comparison of screw fixation versus a cortical button and self-tensioning suture for the Latarjet procedure. Orthop J Sports Med 2018;6:2325967118777842. https://doi.org/10.1177/2325967118777842
Provencher MT, Ghodadra N, LeClere L, Solomon DJ, Romeo AA. Anatomic osteochondral glenoid reconstruction for recurrent glenohumeral instability with glenoid deficiency using a distal tibia allograft. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2009 Apr;25(4):446-452.doi:10.1016/j.arthro.2008.10.017
Rahme H, Wikblad L, Nowak J, Larsson S. Long-term clinical and radiologic results after Eden-Hybbinette operation for anterior instability of the shoulder. J Shoulder Elbow Surg 2003;12:15-19. https://doi.org/10.1067/mse.2002.128138
Rowe CR. Evaluation of the shoulder. New York: Churchill Linvingstone; 1988.
Saliken D, Lavoue 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;65:e2031-e2037. https://doi.org/10.1016/j.eats.2017.08.001
Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983 Apr;65(4):456-460.
Scheibel M, Habermeyer P. Subscapularis dysfunction following anterior surgical approaches to the shoulder. J Shoulder Elbow Surg. 2008 Jul;17(4):671-683. doi:10.1016/j.jse.2007.11.005
Steffen V, Hertel R. Rim reconstruction with autogenous iliac crest for anterior glenoid deficiency: forty-three instability cases followed for 5-19 years. J Shoulder Elbow Surg. 2013 Apr;22(4):550-559. doi:10.1016/j.jse.2012.05.038
Taverna E, Garavaglia G, Perfetti C, Ufenast H, Sconfienza LM, Guarrella V. An arthroscopic bone block procedure is effective in restoring stability, allowing return to sports in cases of glenohumeral instability with glenoid bone deficiency. Knee Surg Sports Traumatol Arthrosc. 2018;26:3780-3787. doi:10.1007/s00167-018-4921-7
Tytherleigh-Strong GM, Morrissey DI. Failed Latarjet procedure treated with a revision bone block stabilization using a suture-button fixation. J Shoulder Elbow Surg. 2017 Apr;26(4):e102-e107. doi:10.1016/j.jse.2017.01.004
Villatte G, Spurr S, Broden C, Martins A, Emery R, Reilly P. The Eden-Hybbinette procedure is one hundred years old! A historical view of the concept and its evolutions. Int Orthop. 2018;42:2491-2495. doi:10.1007/s00264-018-3970-3
Walch G, Boileau P. Latarjet-Bristow procedure for recurrent anterior instability. Techn Shoulder Elbow Surg. 2000;1(4):256-261.
Warner JJP, Gill TJ, O'hollerhan JD, Pathare N, Millett PJ. Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft. Am J Sports Med. 2006 Feb;34(2):205-212. doi:10.1177/0363546505281798
Wellmann M, de Ferrari H, Smith T, Petersen W, Siebert CH, Agneskirchner JD, et al. Biomechanical investigation of the stabilization principle of the Latarjet procedure. Arch Orthop Trauma Surg. 2012 Mar;132(3):377-386. doi:10.1007/s00402-011-1425-z
Weng P-W, Shen H-C, Lee H-H, Wu S-S, Lee C-H. Open reconstruction of large bony glenoid erosion with allogeneic bone graft for recurrent anterior shoulder dislocation. Am J Sports Med. 2009 Sep;37(9):1792-1797. doi:10.1177/0363546509334590
Weppe F, Magnussen RA, Lustig S, Demey G, Neyret P, Servien E. A biomechanical evaluation of bicortical metal screw fixation versus absorbable interference screw fixation after coracoid transfer for anterior shoulder instability. Arthroscopy. 2011;27(10):1358-1363. doi:10.1016/j.arthro.2011.03.074
Wildner M, Wimmer B, Reichelt A. Osteoarthritis after the Eden-Hybbinette-Lange procedure for anterior dislocation of the shoulder. A 15 year follow up. Int Orthop. 1994 Oct;18(5):280-283.
Willemot LB, Wodicka R, Bosworth A, Castagna A, Burns J, Verborgt O. Influence of screw type and length on fixation of anterior glenoid bone grafts. Shoulder Elbow 2018;10:32-39. https://doi.org/10.1177/1758573217704817
Young DC, Rockwood CA. Complications of a failed Bristow procedure and their management. J Bone Joint Surg Am. 1991;73(7):969-981.
Zuckerman JD, Matsen FA. Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am. 1984 Feb;66(2):175-180.
