Fig 4.

Right shoulder posterior viewing portal demonstrating retrieval of the suture lasso nitinol wire from the medial acromion out the lateral portal using a grasper (A), shuttling the anterior most suture tail from the medial row of the acromial graft (B), and all 3 suture tails from the acromial graft’s medial row shuttled underneath the acromion (C). (D) Right shoulder photograph with 3 suture tails shuttled both medially and laterally through stab wounds at the medial and lateral borders of the acromion. (E) Right shoulder photograph demonstrating all suture tails paired with their corresponding anterior to posterior suture after subcutaneous tunneling is used with a loop grasper to retrieve the 3 medial suture tails. (F) Right shoulder photograph demonstrating the use of a knot pusher to tie medial and lateral suture tails together at the lateral border of the acromion for final acromial graft fixation.