Arthroscopic Autologous Scapular Spine Bone Graft Combined With Bankart Repair for Anterior Shoulder Instability With Subcritical (10%-15%) Glenoid Bone Loss

PurposeThe purpose of our study is to prove that the autologous scapular spine bone graft an alternative for treatment anterior shoulder instability and clinical radiological results are promising.MethodFrom July 2016 August 2018, patients who were diagnosed as having with subcritical (10%-15%) glenoid loss treated by arthroscopic repair graft. The inclusion criteria (1) underwent graft; (2) was within 10% 15% (measured Sugaya's method); (3) three complete sets computed tomography (CT) scans (preoperative, 1 week after surgery, year surgery) available; (4) follow-up time at least 2 years. exclusion concomitant rotator cuff tear; remplissage or SLAP repair; previous surgery affected shoulder; open surgery; (5) incomplete follow-up. preoperative postoperative Constant-Murley score, dietary approaches stop hypertension (DASH) visual analog scale (VAS) range motion (ROM) recorded. CT 3-dimensional reconstruction obtained first operation operation; resorption rate consequently calculated.ResultsTwenty-seven qualified enrolled in study. No severe complication recorded during redislocation subluxation found, apprehension tests all negative. At last follow-up, mean score 89.74 ± 3.71, DASH 9.77 5.31, VAS 0.74 0.64, which improved significantly compared scores (P = .00,.00,.00, respectively). ROM including flexion, external rotation side, internal well restored without significant difference contralateral =.48, .08, .47, operation, 19.4%.ConclusionThis found suture anchor fixation safe could achieve satisfactory result short-term follow-up.Level EvidenceTherapeutic case series. promising. From calculated. Twenty-seven 19.4%. This