Specialized Toolkit Series: Shoulder Instability-Screws – A Tried and True Fixation Method for Glenoid Augmention

Screws – A Tried and True Fixation Method for Glenoid Augmention

Video Transcription

Video Summary

The speaker argues that screw fixation is superior to button constructs in orthopedic bone block surgery, citing clinical outcomes and biomechanical data. Referencing Gilles Walsh’s study of 2,000 patients, they highlight a 98% long-term glenohumeral stability with screws versus higher redislocation rates with buttons. Different types of screws (cannulated, solid metal, malleolar) all provide effective cortical augmentation and compression. Screws are adaptable to various graft types and bone loss scenarios, making them reliable. The presentation emphasizes extensive evidence supporting screws’ efficacy and versatility in stabilizing shoulder instability.

Asset Caption

Josef K. Eichinger, M.D., FAANA

Keywords

screw fixation

button constructs

orthopedic bone block surgery

glenohumeral stability

shoulder instability