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Updated: Oct 11, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Treatment of Failed Latarjet With Arthroscopic Anatomic Glenoid Reconstruction
1Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Nova Scotia, Canada.
Purpose:
Various methods have been described for the treatment of anterior shoulder instability with glenoid bone loss. The incidence of recurrent dislocations following surgical intervention is high and, therefore, necessitates a reliable and replicable revision procedure. The purpose of this Technical Note is to describe a method of arthroscopic anatomic glenoid reconstruction using a distal tibial allograft and screw fixation in the setting of a failed Latarjet procedure with significant glenoid bone loss.
Methods:
We describe in detail patient positioning, portal placement, steps of the diagnostic arthroscopy, and graft preparation using imaging and a detailed intraoperative arthroscopic technique.
Level Of Evidence:
Level 1, Shoulder; Level 2, Instability.
