Arthroscopic Distal Clavicular Autograft for Congruent Glenoid Reconstruction

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Arthroscopic Distal Clavicular Autograft for Congruent Glenoid Reconstruction

By Pascal Boileau 108 Videos

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June 9, 2023

Arthroscopic distal clavicular autograft (DCA) is effective in shoulder instability with glenoid bone loss. The ...
read more ↘ original technique uses an osteochondral autograft, fixed with screws or suture anchors. We developed a modified procedure called “congruent arc DCA” characterized by (1) use of drilling guides to optimize graft positioning and make the all-arthroscopic procedure safer and reproducible; (2) rotation of the DCA of 90° to reach a congruent arc with its undersurface; (3) fixation of the graft with cortical buttons to simplify its intra-articular passage, avoid hardware problems, and facilitate possible revision surgery; and (4) intraoperative use of a suture tensioner to achieve satisfactory compression of the graft and increase its consolidation.
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