AOSSM 2023 Annual Meeting Recordings no CME-Evolution of Arthroscopic Bone Grafting

Video Transcription

Video Summary

The video discusses different techniques for anterior glenoid bone augmentation graft, specifically focusing on the Latter Jay procedure, iliac crest, distal clavicle, and distal tibia options. The Latter Jay procedure, which involves transferring the tip of the coracoid with screw fixation, has shown good outcomes in terms of recurrence rates and return to sport. However, the importance of the sling effect in stabilizing the shoulder is still debated. The iliac crest option has the advantage of upsizing bone loss situations but comes with donor site morbidity and graft osteolysis. The distal tibia option has shown improved articular congruity and may enhance shoulder stability. Arthroscopic options require a significant learning curve and have potential complications. Overall, while the open Latter Jay procedure is still the primary choice, free bone blocks show promising results.

Asset Caption

Jonathan Dickens, MD

Keywords

anterior glenoid bone augmentation graft

Latter Jay procedure

iliac crest

distal clavicle

distal tibia