Arthroscopic anterior and posterior capsulolabral advancement for higher-risk athletes

Arthroscopic stabilization has continued to improve and has become comparable to open repairs in terms of redislocation rates. However, many surgeons would still prefer an open procedure in case of bone loss (Hill-Sachs lesions or bony Bankart lesions), multidirectional instability, participation in collision sports, previous stabilization attempts, and in those patients with numerous pre-operative dislocations. We have adapted an arthroscopic technique that addresses both the anterior and posterior aspects of the Inferior Glenohumeral Ligament (IGHL) complex which we call the "Hammock procedure." Based on our early experience, it appears to be a satisfactory arthroscopic alternative for these higher-risk instability patients.