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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 24, Issue 6, pp 1884–1887 | Cite as

A simplified arthroscopic bone graft transfer technique in chronic glenoid bone deficiency

  • Wolfgang Nebelung
  • Frank Reichwein
  • Sven Nebelung
Shoulder

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.

Keywords

Shoulder instability Glenoid bone deficiency Bone graft Tracking suture Arthroscopy 

References

  1. 1.
    Anderl W, Kriegleder B, Heuberer PR (2012) All-arthroscopic implant-free iliac crest bone grafting: new technique and case report. Arthroscopy 28(1):131–137CrossRefPubMedGoogle Scholar
  2. 2.
    Auffarth A, Schauer J, Matis N, Kofler B, Hitzl W, Resch H (2008) The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med 36(4):638–647CrossRefPubMedGoogle Scholar
  3. 3.
    Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16(7):677–694CrossRefPubMedGoogle Scholar
  4. 4.
    Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(11):1242 e1241–1245Google Scholar
  5. 5.
    Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43B:752–757Google Scholar
  6. 6.
    Scheibel M, Kraus N, Diederichs G, Haas NP (2008) Arthroscopic reconstruction of chronic anteroinferior glenoid defect using an autologous tricortical iliac crest bone grafting technique. Arch Orthop Trauma Surg 128(11):1295–1300CrossRefPubMedGoogle Scholar
  7. 7.
    Scheibel M, Nikulka C, Dick A, Schroeder RJ, Gerber Popp A, Haas NP (2008) Autogenous bone grafting for chronic anteroinferior glenoid defects via a complete subscapularis tenotomy approach. Arch Orthop Trauma Surg 128(11):1317–1325CrossRefPubMedGoogle Scholar
  8. 8.
    Steffen V, Hertel R (2013) Rim reconstruction with autogenous iliac crest for anterior glenoid deficiency: forty-three instability cases followed for 5–19 years. J Shoulder Elbow Surg 22(4):550–559CrossRefPubMedGoogle Scholar
  9. 9.
    Taverna E, Golano P, Pascale V, Battistella F (2008) An arthroscopic bone graft procedure for treating anterior-inferior glenohumeral instability. Knee Surg Sports Traumatol Arthrosc 16(9):872–875CrossRefPubMedGoogle Scholar
  10. 10.
    Warner JJ, Gill TJ, O'Hollerhan JD, Pathare N, Millett PJ (2006) Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft. Am J Sports Med 34(2):205–212CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Wolfgang Nebelung
    • 1
  • Frank Reichwein
    • 1
  • Sven Nebelung
    • 2
  1. 1.Department of Rheumatology and ArthroscopyMarienkrankenhaus Düsseldorf-KaiserswerthDüsseldorfGermany
  2. 2.Department of OrthopaedicsAachen University HospitalAachenGermany

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