The Orthobullets Podcast

Coinflips⎪Shoulder & Elbow⎪Recurrent Shoulder Dislocation s/p Latarjet in 20M

Apr 17, 2025
Join experts John Tokish, an orthopedic surgeon from the Mayo Clinic with a military background; Desmond J. Bokor, a seasoned professor in orthopedics; and Joseph Abboud, a shoulder specialist from Rothman Orthopedics, as they navigate the complexities of recurrent shoulder dislocations post-Latarjet procedure. They delve into innovative surgical techniques, the importance of tailored rehabilitation strategies, and the unique challenges faced by young athletes. Lighthearted stories about Antarctic adventures add a fun twist to their clinical discussions!
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INSIGHT

On-Track vs Off-Track Insight

  • On-track and off-track bone loss concepts guide treatment choices in shoulder instability.
  • Near-track lesions may become off-track under stress, affecting surgical decision-making.
ADVICE

Anchor Choices in Bankart Repair

  • Use knotted anchors inferiorly for stronger capsule pull-up.
  • Apply knotless anchors for the rest for efficiency and security.
ADVICE

Remplissage Indications

  • Remplissage best suits substantial Hill-Sachs defects without glenoid bone loss.
  • Reserve alternative approaches when glenoid bone damage is significant.
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