Arthroscopic Parallel Double-Pulley Iliac Crest Bone Graft Fixation for Anterior Glenoid Reconstruction.

Xiong, Yan; Yin, Li; Liao, Dongfa; Yang, Shuang; Yang, Weijie; Zheng, Xiaolong; Deng, Bing · Arthrosc Tech · 2025

case_report · Level V

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Abstract

Glenoid bone defect is one major contributor to anterior shoulder instability. Numerous procedures have been developed for anterior glenoid reconstruction, such as the Eden-Hybinette procedure and the Latarjet-Bristow procedure, as well as various techniques for graft fixation, including screw, endobutton, and anchor fixation. However, these methods can be instrumentally and technically complex. This Technical Note introduces a arthroscopic technique using double-row suture anchors and parallel double-pulley to fix iliac crest bone grafts for anterior glenoid reconstruction, which enables convenient and quick fixation of the bone graft without requirement of any specialized instruments or consumables.