Villatte Guillaume, Spurr Sally, Broden Cyrus, Martins Antoine, Emery Roger, Reilly Peter
Service d'Orthopédie-Traumatologie, Hôpital Gabriel Montpied, CHU de Clermont Ferrand, BP 69, 63003, Clermont-Ferrand Cedex 01, France.
SIGMA Clermont, Institut de Chimie de Clermont-Ferrand, Université Clermont Auvergne, BP 10448, F-63000, Clermont-Ferrand, France.
Int Orthop. 2018 Oct;42(10):2491-2495. doi: 10.1007/s00264-018-3970-3. Epub 2018 May 9.
One hundred years ago, before Bankart, Latarjet or Bristow, Eden and Hybbinette developed a procedure to treat anterior shoulder instability and currently, this eponymous term is known by every shoulder surgeon. The purpose of this review is to summarise the historical "Eden-Hybbinette" procedure and its evolutions during the last century and discuss results.
On the centenary of the first publication on the "Eden-Hybbinette procedure", a search was conducted on Medline, Google Scholar and in the grey literature, to find its initial concept and description, and the evolutions.
The initial procedure was based on the concepts of glenoid bony augmentation (anatomic reconstruction with an autograft from the tibia) and capsulorrhaphy. The main evolutionary themes identified were the origin of the graft (autograft with iliac crest, allograft), graft positioning and fixation (no fixation device, screws), and the surgical approach (split of the subscapularis tendon in open surgery, arthroscopy). Studies with long-term follow-up exhibited good results, considered similar as those with other classic bone-block procedures. Development of osteoarthritis during the following years after the procedure is not usual and not related to the graft unless if there is articular protrusion.
The Eden-Hybbinette procedure is one of the oldest surgical interventions still commonly used for chronic anterior shoulder instability. The changes to the procedure over the last 100 years allow it to remain a contemporary solution for both primary surgery and revision cases.
一百年前，在Bankart、Latarjet或Bristow手术出现之前，伊登（Eden）和赫比内特（Hybbinette）开发了一种治疗肩关节前脱位的手术方法，如今，每位肩关节外科医生都熟知这个以人名命名的手术。本综述的目的是总结历史上的“伊登 - 赫比内特”手术及其在上个世纪的演变，并讨论其治疗效果。
在“伊登 - 赫比内特手术”首次发表一百周年之际，我们在医学文献数据库（Medline）、谷歌学术以及灰色文献中进行了检索，以探寻其最初的概念、描述以及演变过程。
最初的手术基于肩胛盂骨增强（用胫骨自体骨进行解剖重建）和关节囊缝合的概念。确定的主要演变主题包括移植物的来源（髂嵴自体骨、同种异体骨）、移植物的定位和固定（无固定装置、螺钉）以及手术入路（开放手术中肩胛下肌腱劈开、关节镜手术）。长期随访研究显示效果良好，与其他经典骨块手术的效果相当。术后数年发生骨关节炎并不常见，且除非存在关节突出，否则与移植物无关。
“伊登 - 赫比内特”手术是仍常用于治疗慢性肩关节前脱位的最古老手术干预方法之一。在过去100年中该手术的变化使其仍然是原发性手术和翻修病例的现代解决方案。
