Table 1.

Advantages and Disadvantages of the Technique

Advantages

•Fully arthroscopic approach.

•Metal-free fixation implants.

•Small glenoid drill tunnels (2.4 mm), using a specific guide, are the smallest described up to date.

•The subscapularis passage of the graft is performed with the help of two switching stick or with a specific self-retaining retractor.

•Strong compression of the graft, like 2 bolts. The construct mimics a small plate, providing a larger footprint compression and superior bone graft stability.

•Control of rotational stability of the coracoid with the FiberTape Cerclage System.

•Does not require the placement of a dangerous deep medial or axillary portal.

Disadvantages

•Demanding technique, mainly for surgeons with a high volume of shoulder instability cases.

•Needs for longer surgical time compared to an open procedure or the mini-open approach to obtain the coracoid.

•Longer learning curve.

•More expensive procedure than the open approach.