Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making?
Background: We aim to analyze recurrence of dislocation after Latarjet bone block with or without Hill-Sachs Remplissage (HSR) to specify the indication of a combined procedure. Methods: We analyzed 118 patients with a bipolar lesions and a minimum follow-up of 2 years. All procedures were performed...
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Elsevier
2025-07-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638325000969 |
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| author | Bastien Bige, MD Nicolas Recanatesi, MD Jean Francois Gonzalez, MD Marc-Olivier Gauci, MD, PhD |
| author_facet | Bastien Bige, MD Nicolas Recanatesi, MD Jean Francois Gonzalez, MD Marc-Olivier Gauci, MD, PhD |
| author_sort | Bastien Bige, MD |
| collection | DOAJ |
| description | Background: We aim to analyze recurrence of dislocation after Latarjet bone block with or without Hill-Sachs Remplissage (HSR) to specify the indication of a combined procedure. Methods: We analyzed 118 patients with a bipolar lesions and a minimum follow-up of 2 years. All procedures were performed arthroscopically by 3 surgeons in on center. Preoperative and postoperative computed tomography (CT) scans were collected. We also collected preoperative and postoperative clinical scores Two groups were identified: 30 patients with arthroscopic Latarjet bone block combined with a HSR (group I) and 88 patients with an isolated Latarjet (group II). Measurements were performed on a reformatted shoulder CT-scan. On preoperative CT-scans, we measured the glenoid bone loss, the width and the length of the humeral lesion then the glenoid track and Hill-Sachs interval. Results: The mean follow-up is 6 years. Five dislocations occurred in group II, none in group I. The area of glenoid bone loss was higher in group I than in group II (33.4% ± 4.5% vs. 20.5% ± 8.9%, P = .001). Twenty shoulders presented an Off-Track lesion preoperatively that was always compensated postoperatively by the bone block in group I. No cutoff was found to be discriminating enough to help in the decision-making process. All recurrences had an Instability Severity Index score > 6. Conclusion: No recurrence occurred in Group I. However, 5 patients (6%) in Group II experienced a recurrent dislocation with no significant difference. Glenoid track is not an isolated argument to indicate an isolated bone block procedure or a combined HSR. The risk of recurrence increases in patients with an Instability Severity Index score over 6 and in this case, a combine procedure should be recommended. |
| format | Article |
| id | doaj-art-612ea3f9a3cc4d769150e2b9f9e32f81 |
| institution | DOAJ |
| issn | 2666-6383 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj-art-612ea3f9a3cc4d769150e2b9f9e32f812025-08-20T03:17:03ZengElsevierJSES International2666-63832025-07-01941048105410.1016/j.jseint.2025.03.014Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making?Bastien Bige, MD0Nicolas Recanatesi, MD1Jean Francois Gonzalez, MD2Marc-Olivier Gauci, MD, PhD3IULS, Hôpital Pasteur, Nice, FranceIULS, Hôpital Pasteur, Nice, FranceIULS, Hôpital Pasteur, Nice, FranceCorresponding author: Marc-Olivier Gauci, MD, PhD, IULS, Hôpital Pasteur 2, 30 Voie Romaine, Nice 06000, France.; IULS, Hôpital Pasteur, Nice, FranceBackground: We aim to analyze recurrence of dislocation after Latarjet bone block with or without Hill-Sachs Remplissage (HSR) to specify the indication of a combined procedure. Methods: We analyzed 118 patients with a bipolar lesions and a minimum follow-up of 2 years. All procedures were performed arthroscopically by 3 surgeons in on center. Preoperative and postoperative computed tomography (CT) scans were collected. We also collected preoperative and postoperative clinical scores Two groups were identified: 30 patients with arthroscopic Latarjet bone block combined with a HSR (group I) and 88 patients with an isolated Latarjet (group II). Measurements were performed on a reformatted shoulder CT-scan. On preoperative CT-scans, we measured the glenoid bone loss, the width and the length of the humeral lesion then the glenoid track and Hill-Sachs interval. Results: The mean follow-up is 6 years. Five dislocations occurred in group II, none in group I. The area of glenoid bone loss was higher in group I than in group II (33.4% ± 4.5% vs. 20.5% ± 8.9%, P = .001). Twenty shoulders presented an Off-Track lesion preoperatively that was always compensated postoperatively by the bone block in group I. No cutoff was found to be discriminating enough to help in the decision-making process. All recurrences had an Instability Severity Index score > 6. Conclusion: No recurrence occurred in Group I. However, 5 patients (6%) in Group II experienced a recurrent dislocation with no significant difference. Glenoid track is not an isolated argument to indicate an isolated bone block procedure or a combined HSR. The risk of recurrence increases in patients with an Instability Severity Index score over 6 and in this case, a combine procedure should be recommended.http://www.sciencedirect.com/science/article/pii/S2666638325000969Level IIIRetrospective Cohort ComparisonTreatment Study |
| spellingShingle | Bastien Bige, MD Nicolas Recanatesi, MD Jean Francois Gonzalez, MD Marc-Olivier Gauci, MD, PhD Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? JSES International Level III Retrospective Cohort Comparison Treatment Study |
| title | Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? |
| title_full | Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? |
| title_fullStr | Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? |
| title_full_unstemmed | Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? |
| title_short | Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making? |
| title_sort | combined hill sachs remplissage and latarjet procedure does glenoid track help decision making |
| topic | Level III Retrospective Cohort Comparison Treatment Study |
| url | http://www.sciencedirect.com/science/article/pii/S2666638325000969 |
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