title: A simplified arthroscopic bone graft transfer technique in chronic glenoid bone deficiency.
abstract: In severe shoulder instability, chronic glenoid bone deficiency is a challenge for arthroscopic shoulder surgeons. This paper presents a new all-arthroscopic technique of iliac crest bone graft transfer for those patients. Transportation through the rotator interval and repositioning into the glenoid defect is achieved by use of a tracking suture, while fixation of the graft is performed by biodegradable or titanium double-helix screws. Overall, the feasibility and reproducibility of this new reconstruction technique in recreating the bony and soft tissue anatomy of the antero-inferior glenoid could be demonstrated. So far, preliminary outcomes of 24 patients operated on using this technique are promising. Level of evidence Case series with no comparison group, Level IV.
authors.affiliation: Department of Rheumatology and Arthroscopy, Marienkrankenhaus Düsseldorf-Kaiserswerth, An St. Swidbert 17, 40489, Düsseldorf, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Nebelung
authors.affiliation: Department of Rheumatology and Arthroscopy, Marienkrankenhaus Düsseldorf-Kaiserswerth, An St. Swidbert 17, 40489, Düsseldorf, Germany.
authors.forename: Frank
authors.initials: F
authors.lastname: Reichwein
authors.affiliation: Department of Orthopaedics, Aachen University Hospital, Aachen, Germany. svennebelung@gmx.de.
authors.forename: Sven
authors.initials: S
authors.lastname: Nebelung
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D015203:Reproducibility of Results; D012540:Scapula / Q000601:surgery*; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures
keywords: Arthroscopy; Bone graft; Glenoid bone deficiency; Shoulder instability; Tracking suture