Arthroscopic Anatomic Glenoid Reconstruction With Bankart Repair and Remplissage for Recurrent Anterior Shoulder Instability with Bipolar Bone Loss.

Abstract

After first-time dislocation, the recurrence of instability requires less force as the result of associated injury of soft-tissue and bony stabilizing structures. Bone loss of either/both the glenoid and humeral head increases the risk of redislocation even after initial isolated soft-tissue stabilization. Several arthroscopic procedures have been described to address each of these pathologies individually. When combined, they address all pathologies in a single surgery and restore stability, reducing the need for a secondary procedure. This Technical Note describes an all-arthroscopic anatomic glenoid reconstruction with Bankart repair plus remplissage.