Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybinette operation.

Abstract

We assessed the results of the modified Eden-Hybinette operation as a salvage procedure after failure of an index Latarjet. Outcomes, complications, and evidence of arthritis of the glenohumeral joint were evaluated in 46 patients. Thirty-four (74%) were clinically and radiologically assessed at a mean of 6.8 years (range, 2-17 years). Good or excellent results were recorded in 27 of the 34 patients (79%). Four patients had another dislocation, and 2 became recurrent dislocators. One required an arthrodesis. Thirteen complained of a sensation of persistent apprehension. Twenty-three (68%) returned to their predislocation level of sport. Two gave up sports entirely. Radiographic evidence of arthritis was present in 6 (18%) before revision surgery. At final review, 10 (29%) had glenohumeral arthritis, graded as moderate or severe in 6 patients. Recurrence after an initial Latarjet procedure may be successfully treated by the modified Eden-Hybinette procedure. Patients may still experience a sensation of apprehension, but this does not appear to be clinically significant.