Regarding “Arthroscopic Iliac Crest Bone Allograft Combined With Subscapularis Upper-Third Tenodesis Shows a Low Recurrence Rate in the Treatment of Recurrent Anterior Shoulder Instability Associated With Critical Bone Loss”

Arthroscopic Sandwich Autografting Technique for Massive Glenoid Bone Defect Using Iliac Crest and Coracoid Process Grafts

“…The treatment of shoulder joint instability has been a popular topic of discussion over the past decade due to its prevalence and social significance. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 More than 300 surgical techniques have been developed to address this issue, including operations on the shoulder joint capsule, ligament creation, muscle grafting, and bone grafting. 1 , 2 , 3 , 4 , 5 , 6 , 7 Arthroscopic Latarjet surgery is an effective treatment for shoulder joint instability.…”

“…1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 More than 300 surgical techniques have been developed to address this issue, including operations on the shoulder joint capsule, ligament creation, muscle grafting, and bone grafting. 1 , 2 , 3 , 4 , 5 , 6 , 7 Arthroscopic Latarjet surgery is an effective treatment for shoulder joint instability. 1 , 3 , 5 , 6 This surgery provides triple stabilization by creating an additional bone wall of the glenoid, restoring tension of the glenohumeral ligaments, and fixing the anterior capsule to the graft or glenoid.…”

“…Anterior shoulder instability is a prevalent and socially significant pathology, affecting approximately 96% of shoulder girdle and upper-limb injuries. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 Studies have shown that patients with shoulder instability are at a high risk of developing post-traumatic osteoarthritis. Even a single dislocation episode can lead to signs of osteoarthritis in 56% of cases over a 25-year observation period.…”

“…Even a single dislocation episode can lead to signs of osteoarthritis in 56% of cases over a 25-year observation period. 3 , 4 , 5 , 6 , 7 , 8 Conservative treatment is usually ineffective, and surgery is the gold standard for stabilizing the shoulder and preventing recurrence of the pathology. The Latarjet procedure and free iliac crest bone grafting are commonly used surgical options for recurrent anterior instability with a glenoid bone defect greater than 15%.…”

“…Preoperative planning and surgical technique control are carried out using 3-dimensional printing technology. 2 , 3 , 4 , 5 , 6 , 7 , 8 This Technical Note describes a specific arthroscopic method for autografting massive glenoid bone defect (Video 1).…”