APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Track 2: Optimizing Bone Deficiency: Arthroscopic vs. Open Latarjet, Posterior Approach to Shoulder

Track 2: Optimizing Bone Deficiency: Arthroscopic vs. Open Latarjet, Posterior Approach to Shoulder

Video Transcription

Video Summary

The presentation by John D. Kelley IV covers intricacies in addressing shoulder instability, particularly focusing on bone deficiency management through arthroscopic versus open Latter-J techniques. Kelley emphasizes no "free rides" in procedural choices, recognizing both pros and cons, and the importance of individualized treatment plans. Highlighting risks such as nerve injury and potential loss of shoulder rotation with Latter-J, he stresses minimally invasive, anatomy-preserving approaches when in doubt. Kelley also delves into Remplissage, advocating its use for Hill-Sachs lesions regardless of their track status and introduces the concept of the “autobridge technique” for bone grafting using harvested bone during Remplissage. In discussing posterior shoulder instability, Kelley underlines the importance of scapular kinetics and advocates arthroscopic repair and techniques such as reverse Remplissage for addressing reverse Hill-Sachs lesions. Overall, Kelley advocates a combination of meticulous planning, advanced techniques, and strategic grafting to optimize patient outcomes.

Asset Caption

Faculty: John D. Kelly, IV, M.D., FAANA

Keywords

shoulder instability

Latter-J techniques

Remplissage

Hill-Sachs lesions

autobridge technique

scapular kinetics