Arthroscopic Allograft Bone Block Procedure with Remplissage For Bipolar Lesions

Anterior shoulder instability with bone loss is a challenging condition. The two most performed procedures, Bankartrepair & Latarjet, are not without issues. We describe a technique where arthroscopic free bone grafting was performedin conjunction with remplissage. We feel that this combined arthroscopic procedure offers advantages that includereduced risk of conventional Latarjet complications, including neurological deficits and metal hardware complicationswhile preserving subscapularis and coracoid. Furthermore, these advantages may not come at the cost of compromisedoutcomes, particularly recurrence rate, as the remplissage may compensate for the possible lack of “sling effect” withfree bone graft reconstruction.Level of evidence: V

Keywords:

Bipolar lesions , Bone block , Hill Sachs lesions , Instability , remplissage