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Typical preparation for our procedure. (A) The patient is in the lateral decubitus position. (B) The procedure is performed with 4 standard portals. In our technique, the midlateral portal is used for visualization; the posterior and anterior portals are used as working portals; and the juxta-acromial portal is used for graft advancement, as well as graft fixation to the glenoid and graft and rotator cuff fixation to the humerus.
