Failed Latarjet treated with full arthroscopic Eden-Hybinette procedure using two cortical suture-buttons leads to satisfactory clinical outcomes and low recurrence rate.

Abstract Purpose To report clinical and radiological outcomes of arthroscopic Eden-Hybinette using two cortical suture-buttons in a series of patients with prior failed Latarjet and persistent glenoid bone loss. Methods Between 2015 and 2019, patients with recurrent anterior instability after failed Latarjet underwent arthroscopic Eden-Hybinette procedure using two cortical buttons for graft fixation. Exclusion criteria were open and primary Eden-Hybinette and less than one year follow-up. Functional assessment was performed using Rowe and Walch-Duplay scores, Subjective Shoulder Value (SSV), Visual Analogue Scale (VAS) and degree of satisfaction. Iliac crest bone graft (ICBG) placement and healing were assessed postoperatively with computed tomography (CT) imaging. Results A total of 17 patients with a mean age of 28 years (range, 21-43) at time of revision were included. The mean glenoid bone loss was 23% (range, 18-42%). Medium or deep Hill-Sachs (HS) lesion (Calandra 2 and 3) was present in 65% of cases. At a mean follow-up of 3±1.6 years, all but 1 patient (94%) considered their shoulder stable, and 15 patients (88%) were satisfied or very satisfied. The SSV increased from 51% to 87% (p Conclusion Arthroscopic Eden-Hybinette using two cortical buttons leads to satisfactory clinical outcomes and a low recurrence rate after failed Latarjet, allowing successful reconstruction of the anterior glenoid rim and simultaneous treatment of capsular deficiency and humeral bone loss.