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Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants

Large glenoid bone loss defects are associated with higher failure rates after arthroscopic Bankart repair in cases of glenohumeral anterior instability, further necessitating bone graft reconstruction. Because most techniques use strong initial fixation using metal devices, bone graft resorption co...

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Detalles Bibliográficos
Autores principales: Hachem, Abdul-Ilah, Del Carmen, Marcos, Verdalet, Iñigo, Rius, Javier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928368/
https://www.ncbi.nlm.nih.gov/pubmed/31890542
http://dx.doi.org/10.1016/j.eats.2019.08.014
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author Hachem, Abdul-Ilah
Del Carmen, Marcos
Verdalet, Iñigo
Rius, Javier
author_facet Hachem, Abdul-Ilah
Del Carmen, Marcos
Verdalet, Iñigo
Rius, Javier
author_sort Hachem, Abdul-Ilah
collection PubMed
description Large glenoid bone loss defects are associated with higher failure rates after arthroscopic Bankart repair in cases of glenohumeral anterior instability, further necessitating bone graft reconstruction. Because most techniques use strong initial fixation using metal devices, bone graft resorption considered to be closely related to the presence of metal components is a potential shortcoming of these techniques. We describe an arthroscopic technique for anatomical reconstruction of the glenoid that uses a tricortical iliac crest with a metal-free fixation method using 2 ultra-high-strength sutures (FiberTape Cerclage System; Arthrex, Naples, FL), which provide substantial stability to the graft, and finishing with a capsulolabral reconstruction.
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spelling pubmed-69283682019-12-30 Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants Hachem, Abdul-Ilah Del Carmen, Marcos Verdalet, Iñigo Rius, Javier Arthrosc Tech Technical Note Large glenoid bone loss defects are associated with higher failure rates after arthroscopic Bankart repair in cases of glenohumeral anterior instability, further necessitating bone graft reconstruction. Because most techniques use strong initial fixation using metal devices, bone graft resorption considered to be closely related to the presence of metal components is a potential shortcoming of these techniques. We describe an arthroscopic technique for anatomical reconstruction of the glenoid that uses a tricortical iliac crest with a metal-free fixation method using 2 ultra-high-strength sutures (FiberTape Cerclage System; Arthrex, Naples, FL), which provide substantial stability to the graft, and finishing with a capsulolabral reconstruction. Elsevier 2019-11-25 /pmc/articles/PMC6928368/ /pubmed/31890542 http://dx.doi.org/10.1016/j.eats.2019.08.014 Text en © 2019 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Hachem, Abdul-Ilah
Del Carmen, Marcos
Verdalet, Iñigo
Rius, Javier
Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title_full Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title_fullStr Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title_full_unstemmed Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title_short Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants
title_sort arthroscopic bone block cerclage: a fixation method for glenoid bone loss reconstruction without metal implants
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928368/
https://www.ncbi.nlm.nih.gov/pubmed/31890542
http://dx.doi.org/10.1016/j.eats.2019.08.014
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