Treatment of Failed Latarjet With Arthroscopic Anatomic Glenoid Reconstruction.

Hewins, Benjamin; Wong, Ivan · Arthrosc Tech · 2021

case_report · Level V

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Abstract

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. 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 1, Shoulder; Level 2, Instability.