Good morning, everybody. It's a serious flex coming without slides there, Dr. Calvo, so yeah. That's unfair. I came to play, too, though. So I only need two minutes to show Bankart-Remblissage superior. Next, I'm going to show why I wouldn't do Latter-J, even if bone was needed. And I'm going to spend one minute showing a reel of broken Latter-J screws while you vote for me. Part one. Credit to Patrick Denard here and associates. 70 Bankart-Remblissages, 188 Latter-Js in real clinical practice, experienced shoulder surgeons. Glynoid bone loss was worse in the Bankart-Remblissage group. More off-track lesions. Yet the recurrence rate was lower with Bankart-Remblissage versus Latter-J. Return to sport and overhead athletes better in Bankart-Remblissage. Complications, none in Bankart-Remblissage. Systematic review, including that paper published last year. Return to sport highest with Remblissage versus alternatives. Recurrence reoperation lowest with Remblissage. I'm not sure if Professor Gerber is here, but he's felt a disturbance in the force now that I've presented short-term data. Fortunately, we know that at minimum 10-year follow-up, Remblissage being done for the indication, a Hill-Sax lesion being present, which is what many of us are doing in our clinical practices now for 28 patients. Minimum 10-year follow-up, Professor Gerber, no recurrences, no apprehension in the Bankart-Remblissage group. Now, I'll concede here that we have another multicenter study showing a higher recurrence rate at minimum 5-year follow-up with 51 Bankart-Remblissage. Risk factor for recurrence in that study was a very deep lesion and young age. So we might want to pay attention to that when we're considering these patients. So Bankart-Remblissage's primary surgical treatment is clearly the way to go in this overhead collision athlete. I would do return-to-play testing before I let him go back to play. Albert Lin has shown that to be a significant risk factor in preventing recurrent instability. If fails, free bone reconstruction, and I'm not going to alter this patient's anatomy permanently. Even Dr. Calvo admits Latter-Jay is a non-anatomic technique that significantly modifies the anatomy of the shoulder. We know from level one evidence that we don't need the sling effect of the conjoint tendon. This is a patient that failed Bankart-Remblissage. I can get a perfect bony reconstruction here. Thank you to Ivan. I didn't wear my bow tie today, but I think these results speak for themselves. Coracoids all over San Antonio are marking themselves safe from being cut now that we have this technology. And yes, basketball is a collision sport there. You see a Spaniard getting dunked on pretty hard. Thank you to my debate team, unwitting as they may be. This is my reel of broken Latter-Jay hardware. Vote Bankart-Remblissage. Thank you. No, I want my minute. I want my minute.

Bankart-Remblissage

Latter-J technique

shoulder instability

athletes

surgical treatment