Beschreibung:
<jats:sec><jats:title>Background:</jats:title><jats:p> Anterior shoulder instability with glenoid bone loss is a complex condition. Bankart repairs have higher failure rate in this population and the Latarjet procedure is associated with a high complication rate (15%-30%). A recent technique, the arthroscopic anatomic glenoid reconstruction, safely uses distal tibial allograft to augment the glenoid. </jats:p></jats:sec><jats:sec><jats:title>Indications:</jats:title><jats:p> Glenoid or bipolar bone loss in the setting of shoulder instability. </jats:p></jats:sec><jats:sec><jats:title>Technique Description:</jats:title><jats:p> A diagnostic shoulder arthroscopy is performed to assess bone loss and capsulolabral tissue. After the preparation of the anterior glenoid, a bone block harvested from a distal tibial allograft is prepared. This technique uses the Halifax portal, a safe, far medial portal to insert the graft, and compress it onto the anterior glenoid using screws. A Bankart repair is then performed, to reduce the capsulolabral complex onto the glenoid. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Results at 2 years show a 92% to 100% union of the graft, no recurrence of instability, and improved patient-reported outcome scores. Graft remodeling is regularly observed on postoperative imaging. This procedure may be faster to learn and to perform compared to an arthroscopic Latarjet. </jats:p></jats:sec><jats:sec><jats:title>Discussion/Conclusion:</jats:title><jats:p> Arthroscopic anatomic glenoid reconstruction is a safe, minimally invasive procedure to address shoulder instability. It has low complication rate and is associated with improved patient-reported outcomes. </jats:p></jats:sec><jats:sec><jats:title>Patient Consent Disclosure Statement:</jats:title><jats:p> The author(s) attest that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication. </jats:p></jats:sec>