24 year old army captain with history of recurrant dislocation. Positive apprehension for anterior instability. No ligamentous laxity. Xrays showed indistinct anterior inferior border of glenoid. Therefore CT scan was done in addition to MRI. This confirmed a large anterior inferior glenoid fragment with a Hill Sachs lesions.
Any commentswe decided to increase the glenoid ARC as descibed by de beers and others. It is an extraarticular enlargement of the arc with a corocoid transfer.
sir,
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2) can this procedure cover the same indications as for the arthroscopic remplissage ?
We essential osteotomised at the corocoid base after elevating the P. minor from the medial concavve edge and apposed this concave surface extraarticulary on the glenoid face. Srenath ws there for a peep in and added to the RAM with Biju. I feel remplissage will not work with a defect in the glenoid. That's for Hill Sach's. An interesting personal comment made by Dr. Kany was that the french dread to do arthroscopic bankarts as Latarjet has been so successful that nothing can better it. THey are happy to do an arthroscopic cuff than bankarts unlike indian surgeons.
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