Arthroscopic Glenoid Bone Grafting: Preserving the Subscapularis—A Reproducible Technique

The ideal technique for the treatment of anterior shoulder instability with glenoid bone loss is a topic of debate. Several techniques have been described by the orthopaedic surgeons including bony reconstruction as well as soft tissue repair. The clinical outcomes and complication rate (recurrent instability and graft failure) of these procedures vary significantly. It is believed that arthroscopic anatomic bony reconstruction might be a suitable option for the treatment of anterior shoulder instability with significant glenoid bone loss. We have discussed the technique of arthroscopic anatomic glenoid reconstruction using distal tibial allograft preserving the subscapularis muscle which seems to be very safe with excellent outcome.