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Arthroscopic iliac crest bone allograft combined with subscapularis upper third tenodesis shows a low recurrence rate in the treatment of recurrent anterior shoulder instability associated with critical bone loss.

Arthroscopy Dec 26, 2020

Russo R, Maiotti M, Cozzolino A, et al. - The present study was performed to assess the clinical and radiological outcomes of individuals undergoing arthroscopic glenoid bone allograft combined with subscapularis upper third tenodesis for anterior shoulder instability associated with clinically relevant bone loss and hyperlaxity. Researchers selected patients with recurrent anterior shoulder instability associated with bone loss and hyperlaxity and treated them with arthroscopic Iliac crest bone graft combined with subscapularis upper third tenodesis (ASA-Graft) between January 2016 and December 2017. The study enrolled a total of 19 individuals, with a mean follow-up duration of 34.6 months (24-48 months). The outcomes of this study revealed that an arthroscopic glenoid bone graft combined with subscapularis upper third tenodesis may be a valid surgical option to treat recurrent anterior instability correlated with both bone loss and hyperlaxity.

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