Arthroscopic Anatomic Glenoid Reconstruction With Distal Tibial Allograft and Remplissage Suture Staple Procedure in the Beach‐Chair Position

Abstract Critical bone loss in patients with recurrent shoulder instability is often addressed with bone block procedures such as glenoid reconstruction. Various bone block procedures and techniques currently exist to address glenoid bone loss; however, the addition of remplissage may be frequently overlooked despite concomitant engaging or off‐track Hill‐Sachs defects. Recent biomechanical studies suggest that the addition of remplissage may improve shoulder stability after glenoid reconstruction. This technique highlights an efficient method for addressing glenoid bone loss with arthroscopic anatomic glenoid reconstruction using distal tibia allograft as well as Hill‐Sachs lesions with knotless remplissage suture staple procedure in the beach‐chair position.