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Arthroscopic Trillat Procedure: A Guided Technique.

John Swan¹, Pascal Boileau², Johannes Barth¹

¹Department of Orthopedic Surgery, Centre Osteo-Articulaire des Cedres, Echirolles, France.

Arthroscopy Techniques

|May 6, 2020

Summary

This summary is machine-generated.

The arthroscopic Trillat procedure offers a safe and effective surgical option for elderly patients with recurrent shoulder instability and rotator cuff tears. This technique simplifies the procedure, reducing risks and improving patient outcomes.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Arthroscopic Techniques

Background:

Recurrent anterior shoulder instability in elderly patients often presents with significant or irreparable rotator cuff tears.
Traditional surgical interventions may carry substantial risks and complexities in this patient population.

Purpose of the Study:

To describe a simplified, arthroscopic step-by-step guided Trillat procedure.
To present a reproducible technique minimizing risks associated with the subcoracoid space and brachial plexus injury.

Main Methods:

The arthroscopic Trillat procedure involves an inferior closing wedge partial osteotomy of the coracoid process with fixation to the glenoid neck.
A tight-rope fixation construct is utilized for progressive transfer of the coracoid process, avoiding pectoralis minor release.

Main Results:

The described technique effectively lowers and medializes the coracoid process, creating a bone block to prevent humeral dislocation.
The method minimizes risks of brachial plexus damage and overtightening of the subscapularis muscle, with reduced fracture risk.

Conclusions:

The arthroscopic Trillat procedure is a simple, efficient, and reproducible technique for managing shoulder instability in patients with rotator cuff pathology.
This approach aids surgeons in achieving reliable patient outcomes through a simplified, minimally invasive method.