Arthroscopic Anatomic Glenoid Reconstruction in the Unstable Shoulder: Technique, Pearls, and Pitfalls

Arthroscopic Anatomic Glenoid Reconstruction in the Unstable Shoulder: Technique, Pearls, and Pitfalls

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Background: Anterior shoulder instability with glenoid bone loss is a complex condition.Bankart repairs have higher failure rate in this population and the Latarjet procedure is associated with a high complication rate (15%-30%).A recent technique, the arthroscopic anatomic glenoid reconstruction, safely uses distal tibial allograft to augment the glenoid.Indications: valhalla axys Glenoid or bipolar bone loss in the setting of shoulder instability.

Technique Description: A diagnostic shoulder arthroscopy is performed to assess bone loss and capsulolabral tissue.After the preparation of the anterior glenoid, a bone block harvested from a distal tibial allograft is prepared.This technique uses the Halifax portal, a safe, far medial portal to insert the graft, and compress it onto the anterior glenoid using screws.A Bankart repair is then performed, to reduce the capsulolabral complex onto the glenoid.

Results: Results at 2 years show a 92% to 100% union of the graft, no recurrence of instability, and improved patient-reported outcome scores.Graft remodeling is regularly observed on postoperative imaging.This procedure may be faster to learn and to perform compared iphone 14 price chicago to an arthroscopic Latarjet.Discussion/Conclusion: Arthroscopic anatomic glenoid reconstruction is a safe, minimally invasive procedure to address shoulder instability.

It has low complication rate and is associated with improved patient-reported outcomes.Patient Consent Disclosure Statement: The author(s) attest that consent has been obtained from any patient(s) appearing in this publication.If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.