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Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw

We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases—and up to 100% in patients with recurren...

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Autores principales: Di Giunta, Angelo C.C., Cassarino, Alfonso Massimiliano, Castorina, Sergio, Luca, Tonia, Romano, Alfonso Maria, Susanna, Massimiliano, Costa, Danilo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827193/
https://www.ncbi.nlm.nih.gov/pubmed/36632382
http://dx.doi.org/10.1016/j.eats.2022.08.046
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author Di Giunta, Angelo C.C.
Cassarino, Alfonso Massimiliano
Castorina, Sergio
Luca, Tonia
Romano, Alfonso Maria
Susanna, Massimiliano
Costa, Danilo
author_facet Di Giunta, Angelo C.C.
Cassarino, Alfonso Massimiliano
Castorina, Sergio
Luca, Tonia
Romano, Alfonso Maria
Susanna, Massimiliano
Costa, Danilo
author_sort Di Giunta, Angelo C.C.
collection PubMed
description We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases—and up to 100% in patients with recurrent anterior instability. Incorrect management of this humeral bone defect can lead to treatment failure, and it is essential to define characteristics such as the lesion’s location, depth, width, and orientation. Many arthroscopic and open procedures have been described for the surgical management of the Hill-Sachs lesion. Using arthroscopy for the surgical treatment of shoulder instability offers numerous advantages. We describe an arthroscopic technique that consists of filling the Hill-Sachs lesion with absorbable interference screws made out of an advanced biocomposite material. After repair of the Hill-Sachs lesion, the Bankart lesion is repaired. As these screws are resorbed by bone tissue over several months, the bony anatomy is restored.
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spelling pubmed-98271932023-01-10 Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw Di Giunta, Angelo C.C. Cassarino, Alfonso Massimiliano Castorina, Sergio Luca, Tonia Romano, Alfonso Maria Susanna, Massimiliano Costa, Danilo Arthrosc Tech Technical Note We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases—and up to 100% in patients with recurrent anterior instability. Incorrect management of this humeral bone defect can lead to treatment failure, and it is essential to define characteristics such as the lesion’s location, depth, width, and orientation. Many arthroscopic and open procedures have been described for the surgical management of the Hill-Sachs lesion. Using arthroscopy for the surgical treatment of shoulder instability offers numerous advantages. We describe an arthroscopic technique that consists of filling the Hill-Sachs lesion with absorbable interference screws made out of an advanced biocomposite material. After repair of the Hill-Sachs lesion, the Bankart lesion is repaired. As these screws are resorbed by bone tissue over several months, the bony anatomy is restored. Elsevier 2022-11-18 /pmc/articles/PMC9827193/ /pubmed/36632382 http://dx.doi.org/10.1016/j.eats.2022.08.046 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Di Giunta, Angelo C.C.
Cassarino, Alfonso Massimiliano
Castorina, Sergio
Luca, Tonia
Romano, Alfonso Maria
Susanna, Massimiliano
Costa, Danilo
Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title_full Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title_fullStr Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title_full_unstemmed Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title_short Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw
title_sort arthroscopic hill-sachs filling technique using an absorbable interference screw
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827193/
https://www.ncbi.nlm.nih.gov/pubmed/36632382
http://dx.doi.org/10.1016/j.eats.2022.08.046
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