Uploaded May 2026 | Updated September 2026, 2 weeks ago
In this video, we demonstrate the advanced bone block cerclage shoulder technique for treating complex glenoid bone loss surgery and restoring stability in cases of anterior and posterior shoulder instability.
This arthroscopic approach uses a distal tibia allograft shoulder construct to reconstruct the glenoid and improve joint congruency.
The arthroscopic bone block technique is designed to be reproducible and efficient, utilizing a dedicated surgical kit with specialized guides, drills, and instrumentation. These tools help ensure accurate graft placement, controlled drilling, and optimal fixation across the glenoid.
The procedure begins with careful patient positioning and portal placement to provide adequate visualization and access. A key step is complete soft-tissue release from the anterior glenoid, allowing sufficient space for graft insertion and preventing obstruction during placement. Proper preparation of the glenoid surface is critical for achieving a stable and flush fit of the bone graft.
Accurate defect sizing is performed intraoperatively and correlated with preoperative imaging to ensure the correct dimensions for the bone block. The glenoid reconstruction technique relies on precise measurement of the defect and strategic placement of drill guides to achieve ideal graft positioning and fixation.
A central component of this technique is the use of cerclage fixation orthopedic principles. Suture-based cerclage tapes are passed through the glenoid and the allograft, allowing controlled tensioning and secure fixation without the need for traditional screw fixation. This method provides strong compression of the graft to the bone while reducing hardware-related complications.
Preparation of the distal tibia allograft shoulder involves careful drilling and orientation to match the glenoid defect. Surgeons ensure that the graft is aligned correctly and marked for orientation to prevent malposition during insertion.
The graft is then introduced arthroscopically and advanced into position using tensioned sutures. Once seated, gradual and symmetric tensioning of the cerclage system stabilizes the graft and ensures it is flush with the glenoid surface. This step is critical for restoring normal joint mechanics and improving overall stability.
Following graft fixation, the procedure is completed with capsulolabral repair shoulder, restoring soft tissue anatomy and further enhancing joint stability. Anchors are used to reattach the capsule and labrum, creating a comprehensive reconstruction of both bony and soft tissue structures.
This shoulder reconstruction with allograft technique offers a powerful solution for patients with significant bone loss, recurrent instability, or failed prior repairs. It is particularly valuable in sports medicine shoulder surgery where durability and precision are essential.
This video is ideal for orthopedic surgeons and residents looking to master advanced glenoid bone block placement techniques and improve outcomes in complex shoulder instability cases.
š Helpful Arthrex Reference Links:
patient.orthopedia.com/student/catalog?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=tYhCcKWJ0dQ_tutorial
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=tYhCcKWJ0dQ_tutorial
š Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: š Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
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In this video, we demonstrate the advanced bone block cerclage shoulder technique for treating complex glenoid bone loss surgery and restoring stability in cases of anterior and posterior shoulder instability.
This arthroscopic approach uses a distal tibia allograft shoulder construct to reconstruct the glenoid and improve joint congruency.
The arthroscopic bone block technique is designed to be reproducible and efficient, utilizing a dedicated surgical kit with specialized guides, drills, and instrumentation. These tools help ensure accurate graft placement, controlled drilling, and optimal fixation across the glenoid.
The procedure begins with careful patient positioning and portal placement to provide adequate visualization and access. A key step is complete soft-tissue release from the anterior glenoid, allowing sufficient space for graft insertion and preventing obstruction during placement. Proper preparation of the glenoid surface is critical for achieving a stable and flush fit of the bone graft.
Accurate defect sizing is performed intraoperatively and correlated with preoperative imaging to ensure the correct dimensions for the bone block. The glenoid reconstruction technique relies on precise measurement of the defect and strategic placement of drill guides to achieve ideal graft positioning and fixation.
A central component of this technique is the use of cerclage fixation orthopedic principles. Suture-based cerclage tapes are passed through the glenoid and the allograft, allowing controlled tensioning and secure fixation without the need for traditional screw fixation. This method provides strong compression of the graft to the bone while reducing hardware-related complications.
Preparation of the distal tibia allograft shoulder involves careful drilling and orientation to match the glenoid defect. Surgeons ensure that the graft is aligned correctly and marked for orientation to prevent malposition during insertion.
The graft is then introduced arthroscopically and advanced into position using tensioned sutures. Once seated, gradual and symmetric tensioning of the cerclage system stabilizes the graft and ensures it is flush with the glenoid surface. This step is critical for restoring normal joint mechanics and improving overall stability.
Following graft fixation, the procedure is completed with capsulolabral repair shoulder, restoring soft tissue anatomy and further enhancing joint stability. Anchors are used to reattach the capsule and labrum, creating a comprehensive reconstruction of both bony and soft tissue structures.
This shoulder reconstruction with allograft technique offers a powerful solution for patients with significant bone loss, recurrent instability, or failed prior repairs. It is particularly valuable in sports medicine shoulder surgery where durability and precision are essential.
This video is ideal for orthopedic surgeons and residents looking to master advanced glenoid bone block placement techniques and improve outcomes in complex shoulder instability cases.
š Helpful Arthrex Reference Links:
patient.orthopedia.com/student/catalog?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=tYhCcKWJ0dQ_tutorial
https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_general&utm_content=tYhCcKWJ0dQ_tutorial
š Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: š Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
š± Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
