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 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.
Lunn
John V
JV
Department of Orthopaedic Surgery, Centre Santy, Lyon, France. jvlunn@gmail.com
Castellano-Rosa
Juan
J
Walch
Gilles
G
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D055502:Secondary Prevention; D012783:Shoulder Dislocation / Q000517:prevention & control / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery; D017211:Treatment Failure; D016896:Treatment Outcome; D055815:Young Adult