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. 2021 Apr 8;55(3):728-733.
doi: 10.1007/s43465-021-00401-w. eCollection 2021 Jun.

Eden-Hybinette Procedure for Revision Surgery in Recurrent Anterior Shoulder Instability in Epilepsy

Ravi Mittal  1 , Siddarth Jain  1
Affiliations

Eden-Hybinette Procedure for Revision Surgery in Recurrent Anterior Shoulder Instability in Epilepsy

Ravi Mittal et al. Indian J Orthop. .

Abstract

Aims: The purpose of this study was to analyze the clinical outcomes after Eden-Hybinette procedure for revision surgery in recurrent anterior shoulder instability in patients with epilepsy.

Materials and methods: We retrospectively evaluated eight such patients between 2015 and 2018. Four patients had failed Latarjet/Bristow procedure and two had failed arthroscopic Bankart procedure, while two had history of both the procedures. After medical control of epilepsy, Eden-Hybinette procedure was performed in all patients. WOSI score and Rowe shoulder score was recorded preoperatively and in subsequent post-operative follow-up. A paired t test was used to analyze and compare preoperative and postoperative outcomes and was considered significant if p value was < 0.05.

Results: The average follow-up was 30 months (range 24-48 months). There was no recurrence of shoulder instability. The mean WOSI score before surgery was 77.3 (range 70-83), which improved to 24.2 (range 19-30) at 24-month follow-up. The mean Rowe score before surgery was 11.3 (range 5-15), which improved to 81.8(range 65-90) at 24-month follow-up. The improvement in WOSI and Rowe score was found to be statistically significant [p value < 0.05].

Conclusions: We conclude that Eden-Hybinette is a useful revision procedure to manage recurrent anterior shoulder dislocation in patients with epilepsy. Optimum medical control of seizure is also an important factor in preventing recurrent shoulder instability.

Keywords: Anterior shoulder instability; Bipolar lesion; Eden-Hybinette procedure; Epilepsy; Hill Sachs lesion.

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Conflict of interest statement

Conflict of InterestWe declare that no author has any conflict of interest in relation to this manuscript.

Figures

Fig. 1
Fig. 1
X-ray showing failure of Latarjet procedure with bent screw and broken graft
Fig. 2
Fig. 2
CT scan showing failure of Latarjet procedure with broken graft
Fig. 3
Fig. 3
Post-operative X-ray after Eden-Hybinette procedure
Fig. 4
Fig. 4
Axial section of CT scan showing union of the graft to the glenoid
Fig. 5
Fig. 5
Post—operative 3D reconstruction of CT scan showing union of the graft to the glenoid
See this image and copyright information in PMC

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