Arthroscopic Allograft Bone Block Procedure with Remplissage For Bipolar Lesions
نویسندگان
1 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK
2 University of Manchester, UK
3 1 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK- 4 Smart Health Unit, University of East London, London, UK
4 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK
5 University College London, UK
6 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK
doi
10.22038/abjs.2022.64126.3085چکیده
Anterior shoulder instability with bone loss is a challenging condition. The two most performed procedures, Bankartrepair & Latarjet, are not without issues. We describe a technique where arthroscopic free bone grafting was performedin conjunction with remplissage. We feel that this combined arthroscopic procedure offers advantages that includereduced risk of conventional Latarjet complications, including neurological deficits and metal hardware complicationswhile preserving subscapularis and coracoid. Furthermore, these advantages may not come at the cost of compromisedoutcomes, particularly recurrence rate, as the remplissage may compensate for the possible lack of “sling effect” withfree bone graft reconstruction.Level of evidence: V
