Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position

Large anterior glenoid defects pose significant challenges for shoulder stability. Arthroscopic glenoid reconstruction techniques using distal tibia allograft have been proposed as alternatives to open or arthroscopic Latarjet procedures but can increase operating room costs. Iliac crest bone block...

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Main Authors: Kendall E. Bradley, M.D., Hayley L. Jansson, M.D., Drew A. Lansdown, M.D., Alan L. Zhang, M.D.
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628721000141
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author Kendall E. Bradley, M.D.
Hayley L. Jansson, M.D.
Drew A. Lansdown, M.D.
Alan L. Zhang, M.D.
author_facet Kendall E. Bradley, M.D.
Hayley L. Jansson, M.D.
Drew A. Lansdown, M.D.
Alan L. Zhang, M.D.
author_sort Kendall E. Bradley, M.D.
collection DOAJ
description Large anterior glenoid defects pose significant challenges for shoulder stability. Arthroscopic glenoid reconstruction techniques using distal tibia allograft have been proposed as alternatives to open or arthroscopic Latarjet procedures but can increase operating room costs. Iliac crest bone block autograft is a cost-effective option without concern for the graft being undersized. Previous techniques have described arthroscopic glenoid reconstruction in the lateral position, but the beach chair position provides ease of access to both the iliac crest bone graft harvest and arthroscopic bone transfer, as well as facilitates possible conversion to an open approach if necessary. We present our surgical technique for performing an arthroscopic glenoid reconstruction with iliac crest autograft bone block transfer in the beach chair position.
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spelling doaj.art-b7ab801b0d7c4c00833cc7cb455b8eeb2022-12-21T22:36:40ZengElsevierArthroscopy Techniques2212-62872021-04-01104e1155e1164Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair PositionKendall E. Bradley, M.D.0Hayley L. Jansson, M.D.1Drew A. Lansdown, M.D.2Alan L. Zhang, M.D.3Department of Orthopaedic Surgery, University of California–San Francisco, San Francisco, California, U.S.A.Department of Orthopaedic Surgery, University of California–San Francisco, San Francisco, California, U.S.A.Department of Orthopaedic Surgery, University of California–San Francisco, San Francisco, California, U.S.A.Address correspondence to Alan L. Zhang, M.D., Department of Orthoapedic Surgery, University of California-San Francisco, 1500 Owens St., Box 3004, San Francisco, CA 94158.; Department of Orthopaedic Surgery, University of California–San Francisco, San Francisco, California, U.S.A.Large anterior glenoid defects pose significant challenges for shoulder stability. Arthroscopic glenoid reconstruction techniques using distal tibia allograft have been proposed as alternatives to open or arthroscopic Latarjet procedures but can increase operating room costs. Iliac crest bone block autograft is a cost-effective option without concern for the graft being undersized. Previous techniques have described arthroscopic glenoid reconstruction in the lateral position, but the beach chair position provides ease of access to both the iliac crest bone graft harvest and arthroscopic bone transfer, as well as facilitates possible conversion to an open approach if necessary. We present our surgical technique for performing an arthroscopic glenoid reconstruction with iliac crest autograft bone block transfer in the beach chair position.http://www.sciencedirect.com/science/article/pii/S2212628721000141
spellingShingle Kendall E. Bradley, M.D.
Hayley L. Jansson, M.D.
Drew A. Lansdown, M.D.
Alan L. Zhang, M.D.
Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
Arthroscopy Techniques
title Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
title_full Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
title_fullStr Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
title_full_unstemmed Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
title_short Arthroscopic Glenoid Reconstruction With Iliac Crest Bone Block Transfer in the Beach Chair Position
title_sort arthroscopic glenoid reconstruction with iliac crest bone block transfer in the beach chair position
url http://www.sciencedirect.com/science/article/pii/S2212628721000141
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