{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T18:35:21Z","timestamp":1786732521233,"version":"build-2736575974"},"reference-count":55,"publisher":"Bioscientifica","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>The Trillat procedure, initially described by Albert Trillat, is historically one of the first techniques for addressing recurrent anterior shoulder instability, incorporating fascinating biomechanical mechanisms.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>After lowering, medializing, and fixing the coracoid process to the glenoid neck, the subcoracoid space is reduced, the subscapularis lowered, and its line of pull changed, accentuating the function of the subscapularis as a humeral head depressor centering the glenohumeral joint. Furthermore, the conjoint tendon creates a \u2018seatbelt\u2019 effect, preventing anteroinferior humeral head dislocation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Even though contemporary preferences lean towards arthroscopic Bankart repair with optional remplissage, bone augmentation, and the Latarjet procedure, enduring surgical indications remain valid for the Trillat procedure, which offers joint preservation and superior outcomes in two distinct scenarios: (i) older patients with massive irreparable cuff tears and anterior recurrent instability with an intact subscapularis tendon regardless of the extent of glenoid bone loss; (ii) younger patients with instability associated shoulder joint capsule hyperlaxity without concomitant injuries (glenoid bone loss, large Hill\u2013Sachs lesion).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Complications associated with the Trillat procedure include recurrent anterior instability, potential overtightening of the coracoid, leading to pain and a significant reduction in range of motion, risk of subcoracoid impingement, and restriction of external rotation by up to 10\u00b0, a limitation that is generally well-tolerated.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>The Trillat procedure may be an effective alternative technique for specific indications and should remain part of the surgical armamentarium for addressing anterior shoulder instability.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1530\/eor-23-0208","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T11:36:13Z","timestamp":1725276973000},"page":"923-932","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":8,"title":["The Trillat procedure: the man and the technique revisited through the lens of arthroscopy"],"prefix":"10.1530","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8264-3226","authenticated-orcid":true,"given":"Abdelkader","family":"Shekhbihi","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, L\u00f6rrach District Hospital, Baden-W\u00fcrttemberg, L\u00f6rrach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Bauer","sequence":"additional","affiliation":[{"name":"Ensemble Hospitalier de la C\u00f4te, Morges, Switzerland."},{"name":"School of Surgery, University of Western Australia, Perth, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Walch","sequence":"additional","affiliation":[{"name":"Chirurgie Orthop\u00e9dique et Traumatologique du Membre Superieur, Hopital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"Reichert","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, L\u00f6rrach District Hospital, Baden-W\u00fcrttemberg, L\u00f6rrach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Walch","sequence":"additional","affiliation":[{"name":"Ramsay G\u00e9n\u00e9rale de Sant\u00e9, H\u00f4pital priv\u00e9 Jean Mermoz, Centre Orthop\u00e9dique Santy, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Boileau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Surgery, University Institute of Locomotion and Sports, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Lyon Chirurgical","first-page":"986","article-title":"Traitement de la luxation r\u00e9cidivante de l\u2019\u00e9paule; consid\u00e9rations techniques (Treatment of recurrent dislocation of the shoulder; technical considerations)","volume":"49","author":"Trillat","year":"1954","unstructured":"Trillat A. Traitement de la luxation r\u00e9cidivante de l\u2019\u00e9paule; consid\u00e9rations techniques (Treatment of recurrent dislocation of the shoulder; technical considerations). Lyon Chirurgical195449986\u2013993."},{"key":"bib2","series-title":"Luxation R\u00e9cidivante de l\u2019\u00c9paule","author":"Trillat","year":"1973","unstructured":"Trillat A & Leclerc-Chalvet FLuxation R\u00e9cidivante de l\u2019\u00c9paule. Paris: Masson1973."},{"key":"bib3","series-title":"Zentralblatt f\u00fcr Chirurgie","first-page":"2402","article-title":"Zur habituellen","volume":"51","author":"Noesske","year":"1924","unstructured":"Noesske. Zur habituellen Schulterluxation. Zentralblatt f\u00fcr Chirurgie1924512402\u20132404."},{"key":"bib4","series-title":"Arthroscopy Techniques","first-page":"e1211","article-title":"Open Trillat procedure for recurrent anterior instability of the shoulder in elderly patients","volume":"10","author":"Housset","year":"2021","unstructured":"Housset VChevallier R & Nourissat G. Open Trillat procedure for recurrent anterior instability of the shoulder in elderly patients. Arthroscopy Techniques202110e1211\u2013e1216. (https:\/\/doi.org\/10.1016\/j.eats.2021.01.021)"},{"key":"bib5","series-title":"Orthopaedics & Traumatology, Surgery & Research","first-page":"811","article-title":"Arthroscopy-assisted Trillat procedure for anterior shoulder instability: surgical technique and preliminary clinical results","volume":"104","author":"Labattut","year":"2018","unstructured":"Labattut LBertrand VReybet Degat PYArcens MTrouilloud PBaulot E & Martz P. 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Arthroscopic Trillat procedure: a guided technique. Arthroscopy Techniques20209e513\u2013e519. (https:\/\/doi.org\/10.1016\/j.eats.2019.12.004)"},{"key":"bib8","series-title":"Arthroscopy","first-page":"935","article-title":"The arthroscopic Trillat procedure is a valuable and durable treatment option for recurrent anterior instability associated with massive irreparable cuff tears","volume":"39","author":"Boileau","year":"2023","unstructured":"Boileau PClowez GBouacida SWalch GSchwartz DG & Trojani C. The arthroscopic Trillat procedure is a valuable and durable treatment option for recurrent anterior instability associated with massive irreparable cuff tears. Arthroscopy202339935\u2013945. 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Arthroscopic Bristow-Trillat procedure for anterior instability in shoulders with a stretched or deficient capsule: \u201cThe Belt-and-Suspenders\u201d operative Technique and Preliminary Results. In Shoulder Concepts - Arthroscopy, Arthroplasty & Fractures, pp. 107\u2013118 (Eds) P Boileau, G Walch, D Mole, L Favard, C Levigne, F Sirveaux, JF Kempf, Nice: Sauramps Medical2008."},{"key":"bib11","series-title":"Shoulder Concepts - Arthroscopy, Arthroplasty & Fractures","first-page":"193","article-title":"Arthroscopic Trillat: a new","author":"Boileau","year":"2012","unstructured":"Boileau PSchwartz DG & Hardy MB. Arthroscopic Trillat: a new option for the the cuff deficient or hyperlax unstable shoulder. In Shoulder Concepts - Arthroscopy, Arthroplasty & Fractures, pp. 193\u2013204 (Eds) P Boileau, G Walch, D Mole, L Favard, C Levigne, F Sirveaux, JF Kempf, Nice: Sauramps Medical2012."},{"key":"bib12","series-title":"Arthroscopy","first-page":"1050","article-title":"Arthroscopic Latarjet: suture-button fixation is a safe and reliable alternative to screw fixation","volume":"35","author":"Boileau","year":"2019","unstructured":"Boileau PSaliken DGendre PSeeto BLD\u2019Ollonne TGonzalez JF & Bronsard N. Arthroscopic Latarjet: suture-button fixation is a safe and reliable alternative to screw fixation. Arthroscopy2019351050\u20131061. 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(https:\/\/doi.org\/10.2106\/JBJS.E.00817)"},{"key":"bib20","series-title":"Journal of Bone and Joint Surgery","first-page":"1470","article-title":"The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation","volume":"89","author":"Balg","year":"2007","unstructured":"Balg F & Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. Journal of Bone and Joint Surgery2007891470\u20131477. (https:\/\/doi.org\/10.1302\/0301-620X.89B11.18962)"},{"key":"bib21","series-title":"American Journal of Sports Medicine","first-page":"247","article-title":"Anteromedial capsular redundancy and labral deficiency in shoulder instability","volume":"31","author":"Ahmad","year":"2003","unstructured":"Ahmad CSFreehill MQBlaine TALevine WN & Bigliani LU. Anteromedial capsular redundancy and labral deficiency in shoulder instability. 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