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

• Main Authors: David Saliken, M.D., F.R.C.S.C., Vincent Lavoué, M.D., Christophe Trojani, M.D., Ph.D., Jean-François Gonzalez, M.D., Ph.D., Pascal Boileau, M.D.
• Format: Article
• Language: English
• Published: Elsevier 2017-10-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S221262871730258X

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.