Arthroscopic Autologous Iliac Crest Bone Grafting for Augmentation of Glenoid Bone Loss Using Suture Anchor Fixation Combined With the Remplissage Procedure.

Abstract

For patients experiencing recurrent anterior shoulder dislocation with accompanying glenoid bone loss, glenoid reconstruction via bone grafting is crucial for restoring joint stability. Current fixation methods can be classified into rigid approaches, such as compression screws, and nonrigid alternatives, including suture button plates and suture anchors. While rigid fixation carries risks associated with stress shielding-induced graft resorption and potential screw impingement, nonrigid fixation techniques, such as suture button methods, present their own set of challenges, necessitating specialized instrumentation for precise bone tunnel preparation. This article describes an innovative modification of the Eden-Hybinette technique that employs anchor-based nonrigid fixation. Performed entirely through an intra-articular approach, this method offers dual advantages: it significantly simplifies the surgical procedure while mitigating the complications associated with the retention of permanent metallic hardware in the glenoid.