Download presentation
Presentation is loading. Please wait.
Published byAune Keskinen Modified over 6 years ago
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
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.