title: All-arthroscopic implant-free iliac crest bone grafting: new technique and case report.
abstract: Glenoid bone loss is a recognized risk for recurrent instability. Open J-graft augmentation has been reported as a well-established procedure for anterior shoulder instability. Few data are available on arthroscopic techniques for the repair of bony Bankart lesions. We describe an all-arthroscopic implant-free iliac crest bone grafting technique and present the case of a 32-year-old hockey player who underwent glenoid reconstruction using this novel arthroscopic repair technique after 2 failed soft-tissue procedures. After 13 months, the patient reached nearly full range of motion with a slight loss of external rotation. The computed tomography scan showed a restoration of the glenoid cavity and complete healing of the graft.
authors.affiliation: Department of Orthopaedic Surgery, St. Vincent Hospital, Vienna, Austria. werner.anderl@bhs.at
authors.forename: Werner
authors.initials: W
authors.lastname: Anderl
authors.forename: Bernhard
authors.initials: B
authors.lastname: Kriegleder
authors.forename: Philipp R
authors.initials: PR
authors.lastname: Heuberer
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods* / Q000534:rehabilitation*; D001265:Athletic Injuries / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000601:surgery / Q000637:transplantation*; D015601:Injury Severity Score; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011182:Postoperative Care / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012008:Recurrence; D018570:Risk Assessment; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome