Revision of Failed Arthroscopic Anatomic Glenoid Reconstruction Fixed With Suture Button to Arthroscopic Anatomic Glenoid Reconstruction Fixed With Screw Fixation.

Arthroscopic anatomic glenoid reconstruction (AAGR) is an evolving technique for addressing recurrent anterior glenohumeral instability. Despite advances from the original surgical technique, the use of button fixation has raised considerable concerns because of higher rates of clinical failure, necessitating revision procedures. This article describes revision of AAGR using screw fixation after failed primary AAGR with button fixation. We outline a stepwise approach to guide the decision-making process and identify perioperative technical challenges in revising a previously reconstructed glenoid.