# Arthroscopic Autologous Iliac Crest Bone Grafting for Augmentation of Glenoid Bone Loss Using Suture Anchor Fixation Combined With the Remplissage Procedure

## TL;DR

This paper introduces a new surgical method for treating shoulder dislocation with bone loss by using suture anchors to avoid metal hardware complications.

## Contribution

The novel technique modifies the Eden-Hybinette procedure using suture anchors for nonrigid fixation, avoiding permanent metallic hardware.

## Key findings

- The modified technique uses an intra-articular approach with suture anchors for glenoid bone grafting.
- It simplifies the surgical process and reduces risks from metallic hardware retention.
- The method combines graft augmentation with the remplissage procedure for enhanced joint stability.

## Abstract

For patients experiencing recurrent anterior shoulder dislocation with accompanying glenoid bone loss, glenoid reconstruction via bone grafting is crucial for restoring joint stability. Current fixation methods can be classified into rigid approaches, such as compression screws, and nonrigid alternatives, including suture button plates and suture anchors. While rigid fixation carries risks associated with stress shielding–induced graft resorption and potential screw impingement, nonrigid fixation techniques, such as suture button methods, present their own set of challenges, necessitating specialized instrumentation for precise bone tunnel preparation. This article describes an innovative modification of the Eden-Hybinette technique that employs anchor-based nonrigid fixation. Performed entirely through an intra-articular approach, this method offers dual advantages: it significantly simplifies the surgical procedure while mitigating the complications associated with the retention of permanent metallic hardware in the glenoid.