Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery

Multidirectional instability (MDI) can be a challenging condition, with patients often experiencing recurrent dislocation and subluxation events along with debilitating shoulder pain. Although many cases of MDI can be resolved with nonoperative treatment/prolonged physical therapy, some patients pro...

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Main Authors: Mitchell S. Mologne, B.S., Peter S. Chang, M.D., Caleb S. Davis, B.S., Alexander R. Garcia, B.S., Annabel R. Geissbuhler, B.S., Matthew L. Vopat, M.D., John M. Apostolakos, M.D., M.P.H., Peter J. Millett, M.D., M.Sc.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725000696
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author Mitchell S. Mologne, B.S.
Peter S. Chang, M.D.
Caleb S. Davis, B.S.
Alexander R. Garcia, B.S.
Annabel R. Geissbuhler, B.S.
Matthew L. Vopat, M.D.
John M. Apostolakos, M.D., M.P.H.
Peter J. Millett, M.D., M.Sc.
author_facet Mitchell S. Mologne, B.S.
Peter S. Chang, M.D.
Caleb S. Davis, B.S.
Alexander R. Garcia, B.S.
Annabel R. Geissbuhler, B.S.
Matthew L. Vopat, M.D.
John M. Apostolakos, M.D., M.P.H.
Peter J. Millett, M.D., M.Sc.
author_sort Mitchell S. Mologne, B.S.
collection DOAJ
description Multidirectional instability (MDI) can be a challenging condition, with patients often experiencing recurrent dislocation and subluxation events along with debilitating shoulder pain. Although many cases of MDI can be resolved with nonoperative treatment/prolonged physical therapy, some patients progress to surgical management. Primary surgical management of MDI has displayed suboptimal results, with up to one fourth of patients experiencing recurrent instability postoperatively, necessitating revision surgery. The purpose of this Technical Note is to describe anterior capsulolabral reconstruction using a soft-tissue allograft, for patients with multidirectional instability who have not responded to other stabilization procedures. This technique can be a reproducible way to improve shoulder stability and obtain good postoperative outcome measures for patients with recurrent MDI.
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series Arthroscopy Techniques
spelling doaj-art-f03fd9fe7eee40ad9e9bae3d280daee02025-06-27T05:50:14ZengElsevierArthroscopy Techniques2212-62872025-06-01146103500Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability SurgeryMitchell S. Mologne, B.S.0Peter S. Chang, M.D.1Caleb S. Davis, B.S.2Alexander R. Garcia, B.S.3Annabel R. Geissbuhler, B.S.4Matthew L. Vopat, M.D.5John M. Apostolakos, M.D., M.P.H.6Peter J. Millett, M.D., M.Sc.7Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman-Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Peter J. Millett, M.D., M.Sc., The Steadman Clinic & Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Dr., Suite 400, Vail, CO 81657, U.S.A.Multidirectional instability (MDI) can be a challenging condition, with patients often experiencing recurrent dislocation and subluxation events along with debilitating shoulder pain. Although many cases of MDI can be resolved with nonoperative treatment/prolonged physical therapy, some patients progress to surgical management. Primary surgical management of MDI has displayed suboptimal results, with up to one fourth of patients experiencing recurrent instability postoperatively, necessitating revision surgery. The purpose of this Technical Note is to describe anterior capsulolabral reconstruction using a soft-tissue allograft, for patients with multidirectional instability who have not responded to other stabilization procedures. This technique can be a reproducible way to improve shoulder stability and obtain good postoperative outcome measures for patients with recurrent MDI.http://www.sciencedirect.com/science/article/pii/S2212628725000696
spellingShingle Mitchell S. Mologne, B.S.
Peter S. Chang, M.D.
Caleb S. Davis, B.S.
Alexander R. Garcia, B.S.
Annabel R. Geissbuhler, B.S.
Matthew L. Vopat, M.D.
John M. Apostolakos, M.D., M.P.H.
Peter J. Millett, M.D., M.Sc.
Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
Arthroscopy Techniques
title Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
title_full Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
title_fullStr Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
title_full_unstemmed Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
title_short Anterior Capsulolabral Allograft Reconstruction for Revision Multidirectional Instability Surgery
title_sort anterior capsulolabral allograft reconstruction for revision multidirectional instability surgery
url http://www.sciencedirect.com/science/article/pii/S2212628725000696
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