IC 308-2023: Innovative Strategies for Treatment of Bone Loss in the Unstable Shoulder-IC 308 - Innovative Strategies for Treatment of Bone Loss in the Unstable Shoulder (2/4)

IC 308 - Innovative Strategies for Treatment of Bone Loss in the Unstable Shoulder (2/4)

Video Transcription

Video Summary

In the video, the speaker discusses bone loss and shoulder instability, particularly in relation to arthroscopic bankart repairs. He shares personal experiences and failures in his practice over the last 20 years. The speaker emphasizes the importance of recognizing and addressing bone loss in arthroscopic procedures, as it can lead to long-term failures. He mentions the limitations of recurrence rates as an outcome measure and highlights the significance of patient-reported outcomes, specifically the WOSI score. The speaker explores different treatment approaches, such as remplissage and Laterjet procedures, for addressing shoulder instability with bone loss. He discusses their advantages and drawbacks, focusing on recurrence rates and potential complications. The speaker also introduces a technique for arthroscopic bone grafting using a graft with a graft delivery method through the rotator interval without splitting the subscapularis. He highlights its simplicity, safety, and potential for graft and bone healing. The video concludes with a suggestion that arthroscopic bone grafting is an evolving and promising technique for addressing bone loss in shoulder instability cases.

Asset Caption

John Tokish, MD

Keywords

bone loss

shoulder instability

arthroscopic bankart repairs

recurrence rates

arthroscopic bone grafting