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Labral Scaffolding Technique Utilizing Dermal Allograft to Address Subcritical Glenoid Bone Loss in Glenoid Labrum Repair
Journal article   Open access   Peer reviewed

Labral Scaffolding Technique Utilizing Dermal Allograft to Address Subcritical Glenoid Bone Loss in Glenoid Labrum Repair

Sohail Qazi, Jahan Aslami, David Wang and Sam Akhavan
Arthroscopy techniques (Amsterdam), v 14(5), 103433
May 2025
DOI: https://doi.org/10.1016/j.eats.2025.103433
PMID: 40547993
url
https://doi.org/10.1016/j.eats.2025.103433View
Published, Version of Record (VoR) Open

Abstract

A treatment gap exists in the treatment of shoulder instability with subcritical bone loss. In this population, standard arthroscopic labral repairs have been associated with high failure rates. Bone block procedures are associated with low rates of recurrent instability but are associated with a high complication rate and subsequent long‐term degenerative changes, making its use less than optimal in subcritical bone loss. We describe the arthroscopic “labral scaffold” technique using dermal allograft with labral reconstruction to address subcritical glenoid bone loss. This technique utilizes a dermal allograft to augment the bony deficit to better restore more native glenohumeral biomechanics with a double‐row labral repair and subsequent labral reconstruction.

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