AANA19 Shoulder Access Pass-Arthroscopic Treatment for Shoulder Instability with Glenoid Bone Loss Using Distal Tibia Allograft Augmentation: Two-year Outcomes-Dr. Rakesh John, M.D.

Arthroscopic Treatment for Shoulder Instability with Glenoid Bone Loss Using Distal Tibia Allograft Augmentation: Two-year Outcomes-Dr. Rakesh John, M.D.

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Video Summary

The video features Rakesh John presenting on the clinical and radiological outcomes of arthroscopic anatomic glenoid reconstruction using the distal tibial allograft with a minimum of two-year follow-up. This technique, described by Dr. Wong and Urquhart in 2015, aims to address glenoid bone loss without splitting the subscapularis. The procedure involves creating the Halifax portal, fixing the graft with screws, repositioning the subscapularis, and performing an additional Bankart repair. The study, consisting of 66 patients, revealed a high graft union rate, limited graft resorption, significant improvement in clinical outcome scores, and no cases of re-dislocation or nerve injury. The procedure offers a safer and easier alternative to the open Latarjet technique. Long-term follow-up is needed for further evaluation.

Asset Caption

Concurrent Scientific Session V: Paper Presentations - Shoulder Instability 5.3.2019

Keywords

arthroscopic anatomic glenoid reconstruction

distal tibial allograft

Halifax portal

Bankart repair

clinical and radiological outcomes