Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability

Glenoid bone loss remains a significant risk factor for recurrent instability after shoulder dislocation. Several options exist for glenoid bone graft augmentation, including autograft and allograft options. Strengths and weaknesses exist for each. Graft fixation with screws remains a key concern fo...

Full description

Bibliographic Details
Main Authors: Jeffrey D. Hassebrock, M.D., Julianna R. Starkweather, B.S., John M. Tokish, M.D.
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719302129
_version_ 1818439205752143872
author Jeffrey D. Hassebrock, M.D.
Julianna R. Starkweather, B.S.
John M. Tokish, M.D.
author_facet Jeffrey D. Hassebrock, M.D.
Julianna R. Starkweather, B.S.
John M. Tokish, M.D.
author_sort Jeffrey D. Hassebrock, M.D.
collection DOAJ
description Glenoid bone loss remains a significant risk factor for recurrent instability after shoulder dislocation. Several options exist for glenoid bone graft augmentation, including autograft and allograft options. Strengths and weaknesses exist for each. Graft fixation with screws remains a key concern for technical viability requiring a medial portal as well as the risk of graft osteolysis. Suture button suspensory fixation is a new technique recently described for arthroscopic iliac crest bone graft; however, no description exists concerning osteochondral graft fixation. We describe an arthroscopic technique for distal tibial allograft glenoid augmentation with suspensory suture button fixation. The rationale and technical aspects of this procedure are discussed.
first_indexed 2024-12-14T17:52:46Z
format Article
id doaj.art-dc9c513e511a476fb1d4e378b9fa4f64
institution Directory Open Access Journal
issn 2212-6287
language English
last_indexed 2024-12-14T17:52:46Z
publishDate 2020-01-01
publisher Elsevier
record_format Article
series Arthroscopy Techniques
spelling doaj.art-dc9c513e511a476fb1d4e378b9fa4f642022-12-21T22:52:37ZengElsevierArthroscopy Techniques2212-62872020-01-0191e97e102Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder InstabilityJeffrey D. Hassebrock, M.D.0Julianna R. Starkweather, B.S.1John M. Tokish, M.D.2Address correspondence to Jeffrey D. Hassebrock, M.D., Department of Orthopedics, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ 85054 U.S.A.; Department of Orthopedics, Mayo Clinic, Phoenix, Arizona, U.S.A.; University of Arizona, Tucson, Arizona, U.S.A.Department of Orthopedics, Mayo Clinic, Phoenix, Arizona, U.S.A.; University of Arizona, Tucson, Arizona, U.S.A.Department of Orthopedics, Mayo Clinic, Phoenix, Arizona, U.S.A.; University of Arizona, Tucson, Arizona, U.S.A.Glenoid bone loss remains a significant risk factor for recurrent instability after shoulder dislocation. Several options exist for glenoid bone graft augmentation, including autograft and allograft options. Strengths and weaknesses exist for each. Graft fixation with screws remains a key concern for technical viability requiring a medial portal as well as the risk of graft osteolysis. Suture button suspensory fixation is a new technique recently described for arthroscopic iliac crest bone graft; however, no description exists concerning osteochondral graft fixation. We describe an arthroscopic technique for distal tibial allograft glenoid augmentation with suspensory suture button fixation. The rationale and technical aspects of this procedure are discussed.http://www.sciencedirect.com/science/article/pii/S2212628719302129
spellingShingle Jeffrey D. Hassebrock, M.D.
Julianna R. Starkweather, B.S.
John M. Tokish, M.D.
Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
Arthroscopy Techniques
title Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
title_full Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
title_fullStr Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
title_full_unstemmed Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
title_short Arthroscopic Technique for Bone Augmentation With Suture Button Fixation for Anterior Shoulder Instability
title_sort arthroscopic technique for bone augmentation with suture button fixation for anterior shoulder instability
url http://www.sciencedirect.com/science/article/pii/S2212628719302129
work_keys_str_mv AT jeffreydhassebrockmd arthroscopictechniqueforboneaugmentationwithsuturebuttonfixationforanteriorshoulderinstability
AT juliannarstarkweatherbs arthroscopictechniqueforboneaugmentationwithsuturebuttonfixationforanteriorshoulderinstability
AT johnmtokishmd arthroscopictechniqueforboneaugmentationwithsuturebuttonfixationforanteriorshoulderinstability