The Open Eden-Hybinette Procedure for Recurrent Anterior Shoulder Instability With Glenoid Bone Loss

Abstract

In the setting of significant glenoid bone loss, soft tissue stabilization procedures for recurrent anterior shoulder instability have high failure rates. The open or arthroscopic Eden-Hybinette procedure with tricortical iliac crest autograft has been shown to provide good results with low rates of recurrent instability. Indications for this technique include severe glenoid bone loss (>40%), recurrent instability following a Latarjet or distal tibial allograft procedure, or patients with abnormal coracoid morphology. In this technique article, we review the indications, contraindications, surgical technique, postoperative care, outcomes, and complications of the open Eden-Hybinette procedure.