AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Remplissage + Lararjet

Video Transcription

Video Summary

Guillermo Arce discusses managing significant bipolar bone loss in shoulder instability, focusing on Remplissage and Latarjet procedures. He explains measuring glenoid defects and Hill-Sachs lesions via imaging, highlighting that lesions occupying over 75% of the glenoid track necessitate bone reconstruction. The combined arthroscopic remplissage, which reduces humeral head translation, and open Latarjet bone grafting provide a robust solution, especially for collision athletes. He details the surgical steps, including anchor placement and graft fixation, emphasizing the importance of precise technique and surgical approach for optimal outcomes. This combined method offers a reliable treatment for complex shoulder instability cases.

Keywords

bipolar bone loss

shoulder instability

Remplissage procedure

Latarjet procedure

glenoid track measurement