Arthroscopic Bone Block Cerclage Technique Using a Tricortical Scapular Spine Autograft for Glenoid Reconstruction in Patients With Anterior Shoulder Instability

Moroder, Philipp; Thiele, Kathi; Lacheta, Lucca; Karpinski, Katrin; Paksoy, Alp; Akgün, Doruk

doi:10.1016/j.eats.2021.11.004

Cited by 9 publications

(15 citation statements)

References 19 publications

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Section: Types Of Free Bone Graftsmentioning

confidence: 99%

“…17 Arthroscopic techniques using either suture anchors or a suture cerclage system were subsequently introduced in 2021 and 2022, respectively. 8,43 A cadaveric study published in 2022 confirmed that a tricortical scapular spine autograft increased the bony restraint to anterior dislocation in shoulders with glenoid bone loss. 44 Advantages of the scapular spine graft include being readily available, relatively close to the glenohumeral joint, and an autograft source of bone requiring minimal mobilization of muscular attachments.…”

Section: Scapular Spine Autograftmentioning

confidence: 99%

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Free Bone Block Procedures for Glenoid Reconstruction in Anterior Shoulder Instability

Menendez

Wong

Tokish

et al. 2023

J Am Acad Orthop Surg

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Advances in the understanding and management of bone loss in shoulder instability have led to the development of free bone block techniques as an alternative to the Latarjet procedure. These techniques have been proposed as a theoretically safer option to Latarjet, and there is growing clinical enthusiasm in their use. The purpose of this article was to contextualize the utilization of free bone block procedures in the current treatment paradigm of anterior shoulder instability and to review the history and common types of bone autograft (eg, iliac crest, distal clavicle, scapular spine) and allograft (eg, distal tibia, preshaped blocks) techniques and approaches, as well as their clinical effectiveness and safety.

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Section: Types Of Free Bone Graftsmentioning

confidence: 99%

Section: Scapular Spine Autograftmentioning

confidence: 99%

Free Bone Block Procedures for Glenoid Reconstruction in Anterior Shoulder Instability

Menendez

Wong

Tokish

et al. 2023

J Am Acad Orthop Surg

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“…14,38 In addition, a GBL of 13.5% has been suggested to be a threshold value for the occurrence of shoulder dysfunction after ABR alone and is considered by some to represent subcritical bone loss. 30 GBL is the one of the factors that can be addressed by orthopaedic surgeons through the choice of surgical technique, and reconstruction of the bone defect by coracoid process transfer (CPT), autologous bone grafting (iliac bone, 1,35 distal clavicle, 3,34 or scapular spine 22 ), or artificial bone grafting 13 is recommended in shoulders with a large degree of GBL. However, because younger age and playing a contact or collision sport are considered to be strong risk factors for recurrence after ABR alone, performing only capsulolabral complex repair is often not sufficient in these patients regardless of the extent of GBL.…”

mentioning

confidence: 99%

Association Between Preoperative Glenoid Bone Loss and Postoperative Outcomes After Coracoid Transfer Combined With Open Bankart Repair: Comparison of the Bristow and Latarjet Techniques

Hirose

Tanaka

Nakai

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Whether the extent of glenoid bone loss (GBL) affects clinical outcome after coracoid process transfer (CPT) is still unclear. Purpose: To evaluate postoperative outcomes after CPT combined with open Bankart repair in young rugby players in terms of the extent of GBL and between the Bristow and Latarjet techniques. Study Design: Cohort study; Level of evidence, 3. Methods: The authors investigated 101 shoulders in 91 competitive rugby players who underwent CPT combined with open Bankart repair by the Bristow (group B; 66 shoulders) or Latarjet (group L; 35 shoulders) procedure between 2007 and 2017. The extent of GBL was calculated from the en face view of the glenoid on preoperative 3-dimensional computed tomography scans and was used to categorize shoulders into 4 grades (grade 0, 0%; grade 1, >0% and ≤10%; grade 2, >10% and ≤20%; grade 3, >20%). At the minimum 2-year follow-up, the authors analyzed the relationship between GBL or GBL grade and postoperative outcome scores (American Shoulder and Elbow Surgeons score, Rowe score, Western Ontario Shoulder Instability Index, and patient satisfaction), return-to-play (RTP) times, graft failure (insufficient union or translocation), and recurrence. Results: The mean GBL in all shoulders was 10.9% ± 9.2% and was not significantly different between the 2 groups. There were no significant correlations between GBL and any outcome measure in either group. The mean RTP time was significantly shorter in group L versus group B (4.8 ± 1.1 vs 5.8 ± 1.8 months, respectively; P = .002), but it was not associated with GBL. In group B, the rate of graft failure was not significantly higher in shoulders with grade 0 or 1 GBL versus grade 2 or 3 GBL (8 [25.0%] vs 4 [11.8%], respectively; P = .21). In group B, graft failure was confirmed in 12 shoulders (18.2%), compared with 1 shoulder (2.9%) in group L. Postoperative recurrence occurred in significantly fewer shoulders in group B than in group L (2 [3.0%] vs 5 [14.3%], respectively; P = .047). Conclusion: The extent of GBL did not affect outcome scores after CPT, regardless of operative procedure.

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“…We describe a glenoid reconstruction technique using a preshaped xenograft assembled with metal-free fixation method using 2 high-strength suture tapes. 20 , 21 , 22 The tapes are passed from the posterior to the anterior glenoid rim, throughout the xenograft from the anterior to the posterior part, compressing the posterior face of the graft to the glenoid defect, increasing the stability of the fixation. The glenoid drill holes were performed by a specific posterior guide (Arthrex, Naples, FL).…”

mentioning

confidence: 99%

Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

Maiotti,

Massoni

2023

Arthroscopy Techniques

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Arthroscopic Bone Block Cerclage Technique Using a Tricortical Scapular Spine Autograft for Glenoid Reconstruction in Patients With Anterior Shoulder Instability

Cited by 9 publications

References 19 publications

Free Bone Block Procedures for Glenoid Reconstruction in Anterior Shoulder Instability

Free Bone Block Procedures for Glenoid Reconstruction in Anterior Shoulder Instability

Association Between Preoperative Glenoid Bone Loss and Postoperative Outcomes After Coracoid Transfer Combined With Open Bankart Repair: Comparison of the Bristow and Latarjet Techniques

Arthroscopic Xenograft With Cerclage Fixation: A Method for Glenoid Bone Loss Reconstruction With Cerclage Fixation Using a Specific Posterior Guide

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