Arthroscopic Autologous Iliac Crest Bone Grafting Using 3 Suture-Loaded Anchors for Recurrent Anterior Shoulder Instability With Critical Glenoid Bone Loss: A Triangular Fixation Technique.

Zhang, Chunsen; Zhang, Guoxu; Wang, Jiapeng; Shao, Wenze; Huang, Yizhou; Tang, Xin · Arthrosc Tech · 2025

case_series · Level IV

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Abstract

The treatment of recurrent anterior shoulder instability with critical glenoid bone defects typically involves a bone augmentation procedure. Autologous iliac crest bone grafting for glenoid reconstruction has gained popularity in recent years. Numerous bone fixation techniques have been reported, most of which use metal implants. This article introduces a technique for triangular fixation of the bone block using 3 suture-loaded anchors, which can achieve accurate positioning and firm fixation of the bone block without requiring any special instruments.

Anatomy