Eden-Hybinette Procedure as Salvage Treatment for Failed Latarjet Surgery: A Case Report.

INTRODUCTION

Anterior shoulder instability commonly affects young, active individuals and is often associated with traumatic dislocations and glenoid bone loss. The Latarjet procedure is widely performed in cases with significant bone loss, providing stability through coracoid transfer, the sling effect of the conjoint tendon, and capsulolabral repair. Despite its success, complications such as malpositioned bone block, hardware failure, graft resorption or non-union, and patient-related factors like laxity or inadequate rehabilitation may lead to recurrence. Revision surgery after failed Latarjet remains challenging, and no universal consensus exists regarding the optimal approach. The Eden-Hybinette procedure, using a tricortical iliac crest graft, is an accepted salvage option when the coracoid is non-viable.

CASE REPORT: A 38-year-old male presented with recurrent right shoulder instability after undergoing a Latarjet procedure 4 years earlier. Instability recurred within 1 year, and the patient sustained multiple dislocations over the next 3 years. Clinical examination revealed anterior instability with a Beighton score of five. Imaging showed screw breakage with approximately 27% glenoid bone loss. Revision surgery was performed with the Eden-Hybinette technique. A tricortical iliac crest graft was harvested and secured to the glenoid with three cannulated screws. Post-operative recovery was uneventful. By 3 months, the patient had regained a full range of motion, and computed tomography at 6 months demonstrated complete graft union.

CONCLU: sion This case highlights the importance of individualized surgical planning in managing recurrent instability following a failed Latarjet procedure. The Eden-Hybinette technique provided reliable restoration of glenoid architecture and stability, achieving both favorable functional recovery and radiological union in this patient.