Non-rigid fixation of the glenoid bone block for patients with recurrent anterior instability and major glenoid bone loss: A systematic review

Abstract

Background

New types of glenoid bone block fixation, involving suture buttons, suture anchors or even implant-free impaction of the graft, have been recently introduced. In contrast to screws which allow for a rigid fixation of the bone block, these alternative procedures provide a non-rigid type of fixation.

Methods

Two reviewers independently conducted the search in a systematic way (according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms “Latarjet” OR “Eden-Hybbinette” OR “bone block” AND “anterior” AND “shoulder” AND “instability.”

Results

Eight out of the 325 initial studies were finally chosen according to our inclusion–exclusion criteria. In total, 750 patients were included in this review. The overall anterior instability recurrence rate for patients treated with non-rigid fixation was 2.6%, while the overall rate of non-union or graft osteolysis was 5.4%.

Conclusions

Regardless of the graft type, bone block non-rigid fixation showed satisfactory clinical and functional outcomes for the treatment of anterior shoulder instability with substantial glenoid bone deficiency. Furthermore, non-rigid fixation resulted in adequate bone graft healing and osseous incorporation. Lastly, given the relative lack of data, further prospective controlled studies are required to assess bone block non-rigid fixation procedures in comparison with the traditional rigid (with screws) fixation techniques.

Level

Systematic review, IV.

Keywords

bone block shoulder instability glenoid bone loss shoulder arthroscopy non-rigid fixation bone graft

Get full access to this article

View all access options for this article.

References

Lynch

Clinton

Dewing

, et al. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg 2009; 18: 317–328.

Provencher

Bhatia

Ghodadra

, et al. Recurrent shoulder instability: current concepts for evaluation and management of glenoid bone loss. J Bone Joint Surg Am 2010; 92: 133–151.

Bessière

Trojani

Carles

, et al. The open Latarjet procedure is more reliable in terms of shoulder stability than arthroscopic bankart repair. Clin Orthop Relat Res 2014; 472: 2345–2351.

Longo

Loppini

Rizzello

, et al. Latarjet, Bristow, and Eden-Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy 2014; 30: 1184–1211.

Kraus

Amphansap

Gerhardt

, et al. Arthroscopic anatomic glenoid reconstruction using an autologous iliac crest bone grafting technique. J Shoulder Elbow Surg 2014; 23: 1700–1708.

Giannakos

Vezeridis

Schwartz

, et al. All-arthroscopic revision Eden-Hybinette procedure for failed instability surgery: technique and preliminary results. Arthroscopy 2017; 33: 39–48.

Weng

Shen

Lee

, et al. Open reconstruction of large bony glenoid erosion with allogeneic bone graft for recurrent anterior shoulder dislocation. J Sports Med 2009; 37: 1792–1797.

Boileau

Mercier

Roussanne

, et al. Arthroscopic Bankart-Bristow-Latarjet procedure: the development and early results of a safe and reproducible technique. Arthroscopy 2010; 26: 1434–1450.

Skendzel

Sekiya

. Arthroscopic glenoid osteochondral allograft reconstruction without subscapularis takedown: technique and literature review. Arthroscopy 2011; 27: 129–135.

10.

Provencher

Aman

LaPrade

. Biomechanical comparison of screw fixation versus a cortical button and self-tensioning suture for the Latarjet procedure. Orthop J Sports Med 2018; 6: 2325967118777842–2325967118777842.

11.

Young

Rockwood

Jr . Complications of a failed Bristow procedure and their management. J Bone Joint Surg 1991; 73: 969–981.

12.

Zuckerman

Matsen

FA 3rd

. Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg 1984; 66: 175–180.

13.

Kordasiewicz

Kicinski

Małachowsetki

, et al. Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-computed tomography evaluation at a short-term follow-up. Part II. Int Orthop 2018; 42: 1119–1128.

14.

Taverna

Garavaglia

Perfetti

, et al. An arthroscopic bone block procedure is effective in restoring stability, allowing return to sports in cases of glenohumeral instability with glenoid bone deficiency. Knee Surg Sports Traumatol Arthrosc 2018; 26: 3780–3787.

15.

Anderl

Pauzenberger

Laky

, et al. Arthroscopic implant-free bone grafting for shoulder instability with glenoid bone loss: clinical and radiological outcome at a minimum 2-year follow-up. Am J Sports Med 2016; 44: 1137–1145.

16.

Boileau

Gendre

Baba

, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg 2016; 25: 78–89.

17.

Bonnevialle

Thélu

Bouju

, et al. Arthroscopic Latarjet procedure with double-button fixation: short-term complications and learning curve analysis. J Shoulder Elbow Surg 2018; 27: e189–e195.

18.

Gendre

Thélu

d’Ollonne

, et al.

Coracoid bone block fixation with cortical buttons: an alternative to screw fixation?

Orthop Traumatol Surg Res 2016; 102: 983–987.

19.

Metais

Clavert

Barth

, et al. Preliminary clinical outcomes of Latarjet-Patte coracoid transfer by arthroscopy vs. open surgery: prospective multicentre study of 390 cases. Orthop Traumatol Surg Res 2016; 102: S271–S276.

20.

Zhao

Huangfu

Yang

, et al. Arthroscopic glenoid bone grafting with nonrigid fixation for anterior shoulder instability: 52 patients with 2- to 5-year follow-up. Am J Sports Med 2014; 42: 831–839.

21.

Moroder

Plachel

Becker

, et al. Clinical and radiological long-term results after implant-free, autologous, iliac crest bone graft procedure for the treatment of anterior shoulder instability. Am J Sports Med 2018; 46: 2975–2980.

22.

Sayegh

Mascarenhas

Chalmers

, et al. Allograft reconstruction for glenoid bone loss in glenohumeral instability: a systematic review. Arthroscopy 2014; 30: 1642–1649.

23.

Provencher

. Editorial commentary: is arthroscopic bone grafting nearly equivalent to open bone grafting for glenoid bone defects in recurrent anterior shoulder instability? Arthroscopy 2018; 34: 360–362.

24.

Sambandam

Gul

Priyanka

. Analysis of methodological deficiencies of studies reporting surgical outcome following cemented total-joint arthroplasty of trapezio-metacarpal joint of the thumb. Int Orthop 2007; 31: 639–645.