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Arthroscopic Glenoid Reconstruction
Surgical Technique
17.08.12 18:40
The arm and the ipsilateral iliac crest are draped
accordingly and the arm is positioned in the 3-Point
Shoulder distraction System using a STaR-Sleeve and 5 kg
horizontal as well as 3 kg vertical load, while the arm is
20 external rotated.
Harvesting of a tricortical Bone block from the iliac crest.
The size is generally 2.5-3 1-1.5 1-1.5 cm, according to
the loss of Glenoidal substance.
The following Portals should be established: posterior,
anterosuperior or suprabicipital respectively, anteroinferior
and a deep anteroinferior Portal.
Prepare the Glenoid rim and the Scapula neck, using an
oval burr, to assure alignment and bone block healing.
For the transport of the graft into the joint, the Cannula
through the Rotator interval has to be temporally removed.
The skin incision has to be enlarged about 1 cm. The graft
is positioned in a strong straight clamp and gently pushed
through the portal, until it is positioned in between the
Scapula neck and the subscapular muscle.
Arthroscopic Glenoid Reconstruction
2 1
3 4
LT2-0517-EN_B_Athroscopic_Glenoid_Reconstruction.indd 2-4
Final positioning of the graft, using a switching stick
through the posterior postal and the Glenoid Repair-
Guide through the deep anteroinferior Portal. The
Glenoid Repair-Guide is pressed against the caudal
part of the graft, the integrated Guidewire sheath has
to face cranial.
A 1.1 mm K-Wire is positioned in the Guidewire sheath
and drilled through the graft and the scapula neck into
the dorsal cortex.
The free Bio-Compression Drill is pushed into the guide
and a second 1.1 mm K-Wire is drilled through the
canulation of the drill, until it reaches the posterior cortex.
Now, the graft is temporarily fxed and rotation stable.
The caudal K-Wire can now be over-drilled, using the Bio-
Compression Drill, until the proximal Lasermark is fush
with the end of the Glenoid Repair-Guide.
The Drill is removed and the Bio-Compression Tap is
manually used to pretap the hole. The Lasermark on the
Tap also has to be fush with the guide.
5 6
7 8
Remove the K-Wire and the Tap and the frst 3 mm Bio-
Compression Screw (AR-5025B-26) for the fnal fxation of
the graft can be screwed in, until it is countersunk about
1-2 mm underneath the cortex.
The Glenoid Repair-Guide can now be twisted 180
around the remaining K-Wire.
Repeat Step 6 to 10 at the cranial part of the graft
and position the second screw. The use of the K-Wire
is optional.
After the application of the second screw, an oval burr can
be used to smoothen the surface of the graft and to level it
at Glenoid hight if needed.
Soft Tissue fxation starts with the anteroinferior part of
the Labrum, using a 2.9 mm PushLock, two additional
2.9 mm PushLock Anchors are used for the anterosuperior
Labrum.
Surgical Technique
9 10
11 12
17.08.12 18:39
Ordering Information
Implants & Disposables:
Bio-Compression Screw, 3.0 x 26 mm AR-5025B-26
K-Wire 1.1 mm KW02-300-11

Required Instruments:
Glenoid Repair Guide AR-5024
Long Drill for 26 mm BC-Screw AR-5025ETDC-26
Long Tap for 26 mm BC-Screw AR-5025ETBC-26
Long Driver for 26 mm BC-Screw AR-5025EDB
Handle AO-Connect AR-2001AOT
2.9 mm PushLock
Implants:
Bio-PushLock, 2.9 mm x 10.7 mm AR-1923B
BioComposite PushLock, 2.9 mm x 10.7 mm AR-1923BC
PEEK PushLock, 2.9 mm x 10.7 mm AR-1923PS
Required Instruments:
Spear, Trocar and Blunt Tip Obturator, for 2.9 mm PushLock AR-1949
Drill, for 2.9 mm PushLock AR-1923DL
Cannulas
Twist-In Cannula, 8.25 mm x 7.0 cm AR-6530
Twist-In Cannula, 6.0 mm x 7.0 cm AR-6535
Twist-In Cannula, 8.25 mm x 9.0 cm AR-6540
Recommended FiberWire
#2 FiberWire, 38 inches (blue) AR-7233
#2 TigerWire, 38 inches (white) AR-7203
FiberStick and TigerStick

FiberStick, #2 FiberWire, 50 inches (blue) one end stiffened, 12 inches AR-7209

TigerStick, #2 TigerWire, 50 inches (white/black) one end stiffened, 12 inches AR-7209T
FiberLink
TM
FiberLink, #2 FiberWire w/loop (blue) AR-7235
FiberLink, #2 FiberWire w/loop (white/black) AR-7235T
SutureLasso SD
SutureLasso SD, 90 up AR-4068-90
SutureLasso SD, crescent AR-4068C
SutureLasso SD, 45 curve right AR-4068-45R
SutureLasso SD, 45 curve left AR-4068-45L
SutureLasso SD, 25 tight curve right AR-4068-25R
SutureLasso SD, 25 tight curve left AR-4068-25L
SutureLasso SD, 90 curve right AR-4068-90R
SutureLasso SD, 90 curve left AR-4068-90L
SutureLasso SD, 30 straight AR-4068-30
LT2-0517-EN_B_Athroscopic_Glenoid_Reconstruction.indd 5-1
Developed in Collaboration with Priv.-Doz. Dr. M. Scheibel, Berlin
This description of technique is provided as an educational tool and clinical aid to assist properly licensed
medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical
professional must use their professional judgment in making any final determinations in product usage and
technique. In doing so, the medical professional should rely on their own training and experience and should
conduct a thorough review of pertinent medical literature and the products Directions For Use.
Copyright Arthrex Medizinische Instrumente GmbH, 2012. All rights reserved.
U.S. PATENT NOS. 5,964,783; 6,652,563;6,716,234;7,029,490 and PATENT PENDING
LT2-0517-EN_B