Volume 2, Issue 1, Pages (March 2018)

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Volume 2, Issue 1, Pages 104-108 (March 2018) Arthroscopic glenoid reconstruction for glenoid bone loss in recurrent anterior glenohumeral instability, using osteochondral autograft from the contralateral lateral femoral condyle: a new technique and case report Shinsaku Ogimoto, MD, Masashi Miyazaki, MD, PhD, Toshiyuki Tsuruta, MD, PhD, Hiroshi Tsumura, MD, PhD JSES Open Access Volume 2, Issue 1, Pages 104-108 (March 2018) DOI: 10.1016/j.jses.2017.12.005 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Preoperative 3-dimensional reconstructed computed tomography en face view of the right glenoid shows glenoid defect (bone loss, 36.9%). JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Arthroscopic view from the anterolateral portal shows significant bone loss of the glenoid. JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 The osteochondral autograft was 20 mm long, 12 mm wide, and 7 mm deep. This graft was harvested from the lateral portion of the contralateral lateral femoral condyle vertex in the transverse plane to reduce the influence of harvesting. JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 The osteochondral autograft was fixed with a Herbert screw. The lower suture for the Bankart repair is visible. JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 Postoperative 3-dimensional reconstructed computed tomography en face view of right glenoid shows the incorporated remodeled bone graft (bone loss, 11.4%). The asterisks mark the anchor holes for the Bankart repair. JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 Follow-up 3-dimensional reconstructed computed tomography scan shows the donor site and bone formation (arrows). JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 7 Second-look arthroscopy shows stability of the transplanted cartilage and the repaired Bankart lesion. JSES Open Access 2018 2, 104-108DOI: (10.1016/j.jses.2017.12.005) Copyright © 2018 The Author(s) Terms and Conditions