2021 AANA/ASES Specialty Session-New School: My Transition Towards Arthroscopic Bone Block Reconstruction

New School: My Transition Towards Arthroscopic Bone Block Reconstruction

Video Transcription

Video Summary

Dr. Ivan Wong presents arthroscopic anatomic glenoid reconstruction (AAGR) as an improved alternative to the arthroscopic Latarjet for shoulder instability with bone loss. He highlights that bone loss over 13.5% significantly increases failure risk. While Latarjet reduces recurrence, it has high complications, risks neurovascular damage, requires subscapularis splitting, and complicates revisions. AAGR is arthroscopic, anatomic, safer—avoiding nerve areas and sparing muscle—and allows capsular repair. It uses a lateral decubitus approach with a Halifax portal and has a shorter learning curve (~9 cases). Clinical outcomes show comparable effectiveness and bone remodeling to Latarjet but with fewer complications and easier revisions.

Asset Caption

Ivan H. Wong, M.D.

Keywords

arthroscopic anatomic glenoid reconstruction

AAGR

shoulder instability

bone loss

Latarjet procedure