Open Posterior Capsular Reconstruction Using Acellular Dermal Allograft

Posterior shoulder instability accounts for a minority of shoulder instability cases. There is a lack of data and treatment algorithms compared to anterior shoulder instability; moreover, many of the proposed techniques focus on bony reconstruction. We describe an open technique of capsular reconstruction in the absence of glenoid bone loss using dermal allograft tissue secured with knotless fixation. This technique offers the advantage of direct visualization of graft placement and simplifies suture management.