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Pascal Boileau, M. D. , Marie-Béatrice Hardy, M. D. , Walter B

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Presentation on theme: "Pascal Boileau, M. D. , Marie-Béatrice Hardy, M. D. , Walter B"— Presentation transcript:

1 Arthroscopic Posterior Bone Block Procedure: A New Technique Using Suture Anchor Fixation 
Pascal Boileau, M.D., Marie-Béatrice Hardy, M.D., Walter B. McClelland, M.D., Charles-Edouard Thélu, M.D., Daniel G. Schwartz, M.D.  Arthroscopy Techniques  Volume 2, Issue 4, Pages e473-e477 (November 2013) DOI: /j.eats Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Drawings showing desired placement of bicortical bone graft on posterior aspect of glenoid and its extra-articular position after reattachment of posterior labrum. Arthroscopy Techniques 2013 2, e473-e477DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 The posterior bone block is delivered inside the glenohumeral joint through a cannula and fixed by 2 suture anchors; the arthroscopic view shows that the graft is lying flush to the articular surface. Arthroscopy Techniques 2013 2, e473-e477DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Arthroscopic views of a right shoulder (seen from anterior portal) showing posterior Bankart repair with small suture anchors allowing reconstruction of a solid posterior bumper and complete coverage of the bone block, which becomes extra-articular. Arthroscopy Techniques 2013 2, e473-e477DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Early CT images (at 2 weeks) showing correct bone graft positioning: in the vertical plane, the graft is subequatorial, whereas in the horizontal plane, it is flush or slightly overhanging laterally. Arthroscopy Techniques 2013 2, e473-e477DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 CT images showing bone graft healing and remodeling with time in the same patient. The 3-dimensional CT scan image of the initial posterior bone graft at 1 month of follow-up (left), 3-dimensional CT scan image at 20 months' follow-up (middle), and axial cut image (right) show healing and late remodeling of the bone graft with recreation of a pear-shaped glenoid. Arthroscopy Techniques 2013 2, e473-e477DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions


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