Evidence map›Paper›PMID 38238248›Full record

ArticleOrthopaedic surgery2024

Dynamic Anterior Stabilization with Hill-Sachs Remplissage Can be Employed in Skeletally Immature Patients-Operative Technique.

Diana-Cosmina Neculau, George Mihai Avram, Cosmin Simion, Vlad Predescu, Bogdan Obada, Ion-Andrei Popescu

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Diana-Cosmina NeculauORTOPEDICUM-Orthopedic Surgery and Sports Clinic, Romanian Shoulder Institute, Bucharest, Romania.
George Mihai AvramORTOPEDICUM-Orthopedic Surgery and Sports Clinic, Romanian Shoulder Institute, Bucharest, Romania.
Cosmin SimionORTOPEDICUM-Orthopedic Surgery and Sports Clinic, Romanian Shoulder Institute, Bucharest, Romania.
Vlad PredescuOrthopedics and Traumatology Department, Ponderas Academic Hospital, Bucharest, Romania.
Bogdan ObadaOrthopedic Traumatology Department, Emergency Clinical County Hospital, Constanta, Romania.
Ion-Andrei PopescuORTOPEDICUM-Orthopedic Surgery and Sports Clinic, Romanian Shoulder Institute, Bucharest, Romania.ORCID https://orcid.org/0000-0002-9322-5000
Institute for Diagnosis and Animal Health · ROClinical Emergency Hospital Bucharest · ROSpitalului Clinic de Urgență pentru Copii Maria Sklodowska Curie · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous studies indicate that glenoid bony augmentation raises the risk of complications during and after surgery. On the other hand, repairing the labrum alone in cases with subcritical glenoid bone loss results in recurrent instability and persistent apprehension. As a result, recent advancements in shoulder instability surgery prioritize fully restoring the anterior shoulder restraint. OPERATIVE TECHNIQUE: A novel method for treating recurrent anterior shoulder instability with subcritical glenoid bone loss and off-track Hill-Sachs lesion in skeletally immature patients is suggested: the use of dynamic anterior stabilization technique incorporating the long head of the biceps tendon onto the anterior glenoid rim via trans-subscapular transfer, in conjunction with Hill-Sachs remplissage. A practical, step-by-step surgical technique for a complete reconstruction of the anterior capsule-labral-ligamentous complex is provided. This involves utilizing a soft-tissue dynamic anterior sling, achieved through the trans-subscapularis transfer of the long head of the biceps tendon at the glenoid level. The procedure concludes with a Hill-Sachs remplissage to further prevent off-track events and alleviate apprehension.

conclusionDynamic anterior stabilization is a suitable approach for addressing recurring anterior shoulder instability in skeletally immature patients who have subcritical glenoid bone loss and bipolar bone lesions.

Indexed as

Bone Diseases, MetabolicJoint InstabilityShoulder DislocationShoulder JointArthroscopyHumansRecurrenceAnterior shoulder instabilityBankart repairComplications in shoulder instability proceduresDynamic anterior stabilizationGlenoid bone lossRemplissage

Identifiers

PMID38238248
PMCPMC10925509
OpenAlexW4391004780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.