Navigating the Failed Latarjet: Revision Arthroscopic Anatomic Glenoid Reconstruction with Distal Tibial Allograft
Bezawit Teferi Tsegaye, Hannah Gombar, Noah Karabanow, Ivan WongBackground:
Bone block reconstruction of the glenoid has proven to be effective in the primary and revision treatment of shoulder instability with significant bone loss. We present a reproducible and safe technique for arthroscopic anatomic glenoid reconstruction using a distal tibial allograft for revision of failed soft-tissue Bankart repair and open Latarjet.
Indications:
Arthroscopic anatomic glenoid reconstruction is indicated for recurrent shoulder dislocation and pain associated with significant bone loss after a failed index procedure to reconstruct the glenoid and capsulolabral tissue.
Technique Description:
The technique we present explains a reproducible method to reconstruct the glenoid with an allograft bone block with inferior-to-superior capsular shift and remplissage. This technique will recreate the glenoid diameter and concavity while augmenting the soft tissue.
Results:
Our patient has achieved a satisfactory midterm clinical outcome with notable improvement in shoulder function and stability. Importantly, no intraoperative or postoperative complications were recorded throughout the course of treatment.
Discussion/Conclusion:
Arthroscopic anatomic glenoid reconstruction is a safe revision option for a failed Latarjet surgery.
Patient Consent Disclosure Statement:
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.