1. Arthroscopic Iliac Crest Bone Block for Reconstruction of the Glenoid: A Fixation Technique Using an Adjustable-Length Loop Cortical Suspensory Fixation Device 
Socrates Kalogrianitis, M.B.Ch.B., F.R.C.S., Vasileios Tsouparopoulos, M.D. 
Arthroscopy Techniques 
Volume 5, Issue 6, Pages e1197-e1202 (December 2016)
DOI: /j.eats
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Posterior glenoid guide with a 7-mm offset that allows the introduction of two 3-mm cannulated drills through the glenoid neck.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
TightRope-RT, a knotless, adjustable-length suture and button device.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Step 1: preparation of glenoid (left shoulder, beach-chair position, 30° arthroscope through anterolateral portal). The anterior glenoid neck is prepared to a flat surface using a rasp that is introduced through the rotator interval portal.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Step 2: positioning of glenoid guide (left shoulder, beach-chair position, 30° arthroscope through anterolateral portal). The posterior glenoid guide is introduced into the joint, parallel to the glenoid surface, and its tip is anchored at the 4-o'clock position.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
Step 3: passage of TightRopes (left shoulder, beach-chair position, viewing from above). The TightRopes are passed through the glenoid, brought out through the rotator interval, and loaded on the iliac crest graft. Two Dog-Bone buttons are attached to the loops of the TightRopes.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Step 4: positioning of iliac crest graft (left shoulder, beach-chair position, 30° arthroscope through anterolateral portal). The graft is introduced at the anterior glenoid neck, centered at the 4-o'clock position.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

8. Fig 7
Step 5: tensioning of TightRopes (left shoulder, beach-chair position, viewing from above). A suture tensioner is used to sequentially tension the TightRopes at 100 N.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

9. Fig 8
(A) Preoperative 3-dimensional computed tomography scan of left shoulder showing significant anterior bone loss. (B) Postoperative 3-dimensional computed tomography scan of the same shoulder with the bone graft positioned flush with the anterior glenoid and secured with 2 TightRope-RT devices.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

10. Fig 9
Step 6: Bankart repair (left shoulder, beach-chair position, 30° arthroscope through posterior portal). The LabralTape is loaded on a 2.9-mm BioComposite PushLock anchor that is inserted at the predrilled hole at the 3-o'clock position.
Arthroscopy Techniques 2016 5, e1197-e1202DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions