The Combined Arthroscopic Revision Technique After the Latarjet Procedure

The Latarjet procedure is very popular and is the method of choice in cases of glenoid bone loss and anterior-inferior instability or revision procedures. However, recurrence is common after this procedure. One of the methods of revision after the Latarjet procedure is the Eden-Hybinette technique....

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Main Authors: Oleg Milenin, M.D., Ruslan Sergienko, M.D., Victoriya Badtieva, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719300842
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author Oleg Milenin, M.D.
Ruslan Sergienko, M.D.
Victoriya Badtieva, M.D., Ph.D.
author_facet Oleg Milenin, M.D.
Ruslan Sergienko, M.D.
Victoriya Badtieva, M.D., Ph.D.
author_sort Oleg Milenin, M.D.
collection DOAJ
description The Latarjet procedure is very popular and is the method of choice in cases of glenoid bone loss and anterior-inferior instability or revision procedures. However, recurrence is common after this procedure. One of the methods of revision after the Latarjet procedure is the Eden-Hybinette technique. However, recurrence occurs after this bone grafting procedure as well. The primary reasons for recurrence are graft resorption and capsular deficiency. To improve these outcomes, transfer of the long head of the biceps for capsular reinforcement has been recommended by several authors. We describe an all-arthroscopic procedure, performed after the Latarjet technique, that combines bone block transfer, trans-subscapular transposition of the long head of the biceps, and anterior labroplasty. This technique can significantly reinforce the deficient capsule through the sling effect and cover the graft for prophylaxis against bone resorption.
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spelling doaj.art-751987d6896945c083a80246379adb252022-12-21T22:33:29ZengElsevierArthroscopy Techniques2212-62872019-08-0188e917e921The Combined Arthroscopic Revision Technique After the Latarjet ProcedureOleg Milenin, M.D.0Ruslan Sergienko, M.D.1Victoriya Badtieva, M.D., Ph.D.2Department of Orthopedic Surgery, National Medical Surgical Center, Moscow, Russia; Address correspondence to Oleg Milenin, M.D., National Medical Surgical Center, 70 Nizhnaya Prevomayskaya Street, 105203 Moscow, Russia.Medical Center of Modern Orthopedics, Kyiv, UkraineSechenov First Moscow State Medical University, Moscow, RussiaThe Latarjet procedure is very popular and is the method of choice in cases of glenoid bone loss and anterior-inferior instability or revision procedures. However, recurrence is common after this procedure. One of the methods of revision after the Latarjet procedure is the Eden-Hybinette technique. However, recurrence occurs after this bone grafting procedure as well. The primary reasons for recurrence are graft resorption and capsular deficiency. To improve these outcomes, transfer of the long head of the biceps for capsular reinforcement has been recommended by several authors. We describe an all-arthroscopic procedure, performed after the Latarjet technique, that combines bone block transfer, trans-subscapular transposition of the long head of the biceps, and anterior labroplasty. This technique can significantly reinforce the deficient capsule through the sling effect and cover the graft for prophylaxis against bone resorption.http://www.sciencedirect.com/science/article/pii/S2212628719300842
spellingShingle Oleg Milenin, M.D.
Ruslan Sergienko, M.D.
Victoriya Badtieva, M.D., Ph.D.
The Combined Arthroscopic Revision Technique After the Latarjet Procedure
Arthroscopy Techniques
title The Combined Arthroscopic Revision Technique After the Latarjet Procedure
title_full The Combined Arthroscopic Revision Technique After the Latarjet Procedure
title_fullStr The Combined Arthroscopic Revision Technique After the Latarjet Procedure
title_full_unstemmed The Combined Arthroscopic Revision Technique After the Latarjet Procedure
title_short The Combined Arthroscopic Revision Technique After the Latarjet Procedure
title_sort combined arthroscopic revision technique after the latarjet procedure
url http://www.sciencedirect.com/science/article/pii/S2212628719300842
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