Arthroscopic Allogeneic Bone Strip Grafting for Recurrent Shoulder Dislocation With Critical Glenoid Bone Loss: A Free Graft Suspension Fixation Technique.

In patients with recurrent anterior shoulder dislocation and glenoid bone loss between 10% and 20%, isolated Bankart repair remains associated with a certain rate of postoperative redislocation. The optimal management for this patient subset is controversial. We describe an all-arthroscopic technique using allogeneic bone strips for free graft suspension fixation in cases of critical glenoid bone loss (10%-20%). This technique is predicated on the principle that restoring both osseous and soft-tissue anatomy of the glenoid is fundamental to addressing shoulder instability.