The arthroscopic Bankart procedure can be very successful in
preventing recurrent shoulder instability and has a low complication
rate.
However, even if the surgeon masters this procedure, there are cases
where the success is limited. Besides patients who have true
recurrence of instability, some others remain with «shoulder
apprehension», while others abandon their sport in the months or years
following the procedure. Those are mainly cases with bony lesions,
mostly of the glenoid, and to a lesser degree, of the humeral head.
Glenoid deficiencies are becoming increasingly recognized in patients
with anterior recurrent instability.
In these cases, open bone block stabilization using the coracoid
process (Bristow, Latarjet) or an iliac crest bone graft
(Eden-Hybbinette) are regarded as the «gold standard». Criticism
against the arthroscopic bone block procedures is based on reports of
complications and failures. It is true that performing an arthroscopic
Latarjet can be very dangerous if the surgeon does not master all
details perfectly. The use of screws has also been associated most of
the complications reported. On the other hand, nothing will stop the
development of arthroscopic shoulder surgery. This is why, for more
than fifteen years we have been working on the development of
arthroscopic techniques that would be safe, reproducible, and using a
means of fixation other than screws to fix the bone block on the
glenoid neck.
This Arthroscopic Shoulder Manual has been written to be a guide for
surgeons whose goal is to master these safe arthroscopic techniques.
Latarjet Prodedure
Arthroscopic Guided Latarjet ET Bankart Repair
Arthroscopic Guided Bristow-Latarjet
Arthroscopic Guided Cape Town (De Beer)
Arthroscopic Guided Eden-Hybbinette
Arthroscopic Guided Trillat
Arthroscopic Posterior Bone Block Procedure
"synopsis" may belong to another edition of this title.
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