Arthroscopic Posterior Bone Block Stabilization Using a Tricortical Autograft of the Ipsilateral Scapular Spine

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Antonia Schlüßler - , University Center for Orthopedics, Trauma and Plastic Surgery, Schulthess Clinic (Author)
  • Aaron Martinez-Ulloa - , Fundacion Jimenez Díaz University Hospital (Author)
  • Philipp Moroder - , Charité – Universitätsmedizin Berlin, Schulthess Clinic (Author)
  • Markus Scheibel - , Charité – Universitätsmedizin Berlin, Schulthess Clinic (Author)

Abstract

Posterior bone grafting represents an emerging therapeutic approach for addressing recurrent instability in the posterior shoulder, particularly when coupled with substantial glenoid bone loss. Although not as prevalent as anterior instability, recent years have witnessed the development of numerous open and arthroscopic bony reconstruction methods. A technical gold standard for posterior bone grafting remains undefined, leading to ongoing advancements in bone grafting techniques. In response to past challenges associated with screw fixation, metal-free arthroscopic fixation procedures have been introduced to the realm of bone grafting. These metal-free methods often entail intricate transglenoid drilling, which poses potential surgical complexities and risks to both posterior and anterior soft tissues, as well as neurovascular structures. Therefore, we introduce an arthroscopic approach to posterior bone grafting using PEEK (polyether ether ketone) anchors with interconnected sutures and a scapular spine autograft. This method overcomes previous hurdles by facilitating the restoration of the posterior glenoid bone stock with precise positioning and secure fixation of the tricortical scapular spine bone autograft.

Details

Original languageEnglish
Article number102933
JournalArthroscopy techniques
Volume13
Issue number5
Publication statusPublished - May 2024
Peer-reviewedYes

External IDs

PubMedCentral PMC11144806
Scopus 85185583883

Keywords

ASJC Scopus subject areas