Related Experiment Video
Updated: Jul 24, 2025
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.3K
All-Arthroscopic Trillat Procedure Using Screw Fixation for Recurrent Shoulder Instability.
Andrew P McBride1, Edoardo Giovannetti de Sanctis1, Kussh S Mukhi1
1Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Ramsay Santé, Lyon, France.
Arthroscopy Techniques
|July 10, 2023
Summary
The Trillat procedure, using arthroscopic screw fixation, offers a safe and effective surgical option for shoulder instability in both young and older patients. This technique minimizes risks like subscapularis impingement and potential bone fractures.
Area of Science:
- Orthopedic Surgery
- Arthroscopic Techniques
- Shoulder Reconstruction
Background:
- The Trillat procedure is a known treatment for shoulder instability.
- Existing methods may have limitations in older patients with rotator cuff tears.
- Need for minimally invasive techniques with improved safety profiles.
Purpose of the Study:
- To describe an all-arthroscopic Trillat procedure using screw fixation.
- To detail a stepwise approach for coracoid process mobilization.
- To highlight techniques for minimizing surgical complications.
Main Methods:
- All-arthroscopic technique utilizing screw fixation for coracoid osteotomy and transfer.
- Stepwise approach for safe dissection, clearance, and osteotomy of the coracoid.
- Direct visualization during screw tensioning and fixation.
Main Results:
- The described technique allows for safe coracoid mobilization and fixation.
- Minimizes risk of subscapularis impingement through direct visualization.
- Provides guidance to avoid superior bone bridge fracture.
Conclusions:
- Arthroscopic screw fixation provides a viable method for the Trillat procedure.
- This technique is applicable for shoulder instability in diverse patient populations.
- Offers a safe and effective all-arthroscopic solution for coracoid transfer.
