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Arthroscopic "Bone Block Cerclage" Technique for Posterior Shoulder Instability.
Abdul-Ilah Hachem1, Rafael Rondanelli S2, Gino Costa D'O2
1Department of Orthopedic and Traumatology Surgery, Hospital Universitari de Bellvitge, Barcelona, Spain.
Arthroscopy Techniques
|September 3, 2020
Summary
This study presents a novel arthroscopic technique for posterior shoulder instability using an allograft and strong sutures. This metal-free approach aims to provide a reliable solution for posterior glenoid reconstruction.
Area of Science:
- Orthopedics
- Sports Medicine
- Shoulder Surgery
Background:
- Posterior glenohumeral instability presents complex pathoanatomy and varied patient factors.
- Existing surgical techniques lack a strong consensus, leading to inconsistent outcomes.
- The need for effective and reproducible methods for posterior glenoid reconstruction is critical.
Purpose of the Study:
- To describe a novel arthroscopic anatomical metal-free posterior glenoid reconstruction technique.
- To detail the use of a tricortical iliac crest allograft and ultra-high strength sutures.
- To present a concomitant posterior capsulolabral complex reconstruction procedure.
Main Methods:
- Arthroscopic posterior glenoid reconstruction using a tricortical iliac crest allograft.
- Fixation with two ultra-high strength sutures (FiberTape Cerclage System).
- Simultaneous reconstruction of the posterior capsulolabral complex.
Main Results:
- The described technique offers an anatomical and metal-free approach.
- Utilizes readily available allograft material for glenoid reconstruction.
- Employs robust suture fixation for enhanced stability.
Conclusions:
- This arthroscopic technique provides a viable option for posterior glenoid reconstruction.
- The metal-free, allograft-based method addresses challenges in treating posterior shoulder instability.
- Further studies are warranted to evaluate long-term outcomes and compare with existing methods.
