ArticleJSES international2025
Combined Hill-Sachs remplissage and Latarjet procedure: does glenoid track help decision making?
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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%, 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.
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