Specialized Toolkit Series: Shoulder Instability-Arthroscopic Bone Grafting for Shoulder Instability

Arthroscopic Bone Grafting for Shoulder Instability

Video Transcription

Video Summary

The speaker discusses arthroscopic treatment of shoulder instability, emphasizing the evolution and advantages of bone grafts: safety, simplicity, and anatomical accuracy. Various graft sources exist, but technique outweighs graft choice. The key is using standard portals, avoiding nerve injury by delivering grafts through the interval, and eliminating screws to prevent complications. The speaker details a refined method involving concentric, flush glenoid preparation using flip cutters, and secure, metal-free fixation. A challenging patient case with severe bone loss is presented, showing successful graft integration and stability at 14 months post-op. The approach offers a promising, reproducible solution for complex shoulder instability.

Asset Caption

John M. Tokish, M.D., FAANA

Keywords

arthroscopic shoulder instability

bone graft advantages

metal-free fixation

glenoid preparation technique

shoulder instability treatment outcomes