Description
This VTT document details a presentation by Carlos Cobiella on the management of bony defects in shoulder instability. He begins by introducing the importance of managing bone defects, particularly why they lead to increased recurrence rates in shoulder dislocations. Cobiella discusses the bony Bankart lesions affecting the glenoid and the Engaging Hill-Sachs lesions on the humeral head, highlighting their implications for stability and treatment options.
The presentation unfolds into historical context, detailing the surgical approaches that have evolved since the late '80s into the 2000s, such as the Latarjet procedure, which aims at reconstructing shoulder stability but comes with potential complications. He elaborates on the importance of recognizing different types of bony defects and appropriately using techniques like grafting the glenoid or performing a remplissage for isolated Hill-Sachs lesions.
Cobiella emphasizes the necessity of adapting surgical techniques based on specific patient presentations, improvements in understanding shoulder pathologies, and outcomes from various procedures documented in clinical results. He discusses the advances that allow for better preoperative planning, including imaging techniques that inform surgical decisions. The session concludes with a brief interaction between Cobiella and another professional, Joanne Banks, revolving around rehabilitation timelines for high-level athletes following surgical intervention, hinting at the intricacies of patient management in sports medicine.
The presentation sets the groundwork for future discussions on shoulder surgery and reflects the ongoing search for improved surgical methods tailored to individual patient needs.