Among the many different procedures available in the treatment of shoulder instability, the Trillat procedure remains indicated in case of recurrent shoulder instability in elderly patient with an irreparable cuff tear or in case of hyperlaxity. Despite the constantly increasing number of arthroscopic assisted techniques, the open procedure remains a simple, reliable and fast surgical procedure with a shorter learning curve than the arthroscopic techniques. It consists in a partial osteotomy of the anterior cortical of the coracoid process which is then tilted and fixed with a screw into the anterior part of the scapula downwards and medially to obtain a re-centering effect due to the conjoint tendon on the humeral head when rotational movement are applied. This article aims to present a stepwise approach for the open surgical technique.
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| http://dx.doi.org/10.1016/j.eats.2021.01.021 | DOI Listing |
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Background: Clinical studies have shown that the open Latarjet procedure (OLP) has lower recurrence rates than the isolated arthroscopic Bankart (IAB) procedure for recurrent anterior shoulder instability, but no long-term comparative studies exist for IAB in patients without bone loss.
Purpose/hypothesis: This study aimed to compare the outcomes of IAB in selected patients without bone loss versus OLP. The hypothesis was that OLP would be more successful in preventing recurrence, even in carefully selected patients for IAB.
The Trillat procedure: a systematic review of complications and outcome.
JSES Rev Rep Tech
November 2024
Istitut de Chirurgie Réparatrice (ICR) Locomoteur & Sports, Groupe KANTYS, Nice, France.
Article Synopsis
- The Trillat procedure is a surgical method for treating recurrent anterior shoulder instability, involving the reshaping of the coracoid process; it is now used selectively for specific cases.
- A systematic review analyzed seven studies involving 419 patients, revealing a high satisfaction rate (91.2%) and good functional scores, but a recurrence rate of 10.28%.
- Overall, the procedure shows promising outcomes, especially for patients with low-grade glenoid bone loss and certain shoulder conditions, although common complications include limited external rotation and osteoarthritis.
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Department of Otolaryngology Head Neck Surgery, University Hospital Center, Hospital Gabriel Montpied, 58 rue Montalembert, 63000 Clermont-Ferrand, France.
: Surgical resection of vestibular schwannomas (VS) can be responsible for single-sided deafness (SSD). Hearing restoration can be a challenge both for the otolaryngologist and the patient. : In a retrospective series, we analyzed the charts of SSD patients operated on for VS from 2005-2021, checking which type of hearing rehabilitation was chosen.
View Article and Find Full Text PDFArthroscopic Trillat technique for chronic anterior shoulder instability: outcomes at 2-year follow-up in 74 at-risk sports patients.
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Department of Orthopaedic Surgery, Dijon University Hospital, Dijon, France; INSERM, UMR1093-CAPS, Université Bourgogne Franche-Comté, UB, Dijon, France; INSERM, CIC 1432, Module Plurithématique, Plateforme d'Investigation Technologique, Dijon, France.
Article Synopsis
- Chronic anterior shoulder instability is prevalent among young athletes who require effective recovery for returning to sports, and the arthroscopic Trillat technique has shown promising 2-year outcomes in stabilization and function.
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