Book An Appointment
Dr. Garcia demonstrates his stabilization technique for multidirectional instability.
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
In this video, Dr. Grant Garcia demonstrates his advanced arthroscopic stabilization technique for a patient suffering from chronic Multidirectional Instability (MDI) of the shoulder. The patient failed conservative, non-operative management over a five-year period and recently sustained a highly painful subluxation event. Arthroscopic examination revealed an extensive 360-degree labral tear coupled with global capsular laxity.
To address this severe, multi-planar laxity, Dr. Garcia executes a comprehensive, tailored reconstruction across the superior, posterior, and anterior zones of the shoulder joint:
Superior Repair (SLAP Component)
Operating with the patient in the lateral decubitus position, Dr. Garcia addresses the superior labral pathology first:
- Preparation: The bony bed of the superior glenoid is carefully decorticated using an arthroscopic shaver and an aggressive burr to encourage biological healing.
- Anchoring: Using an anterior-superior working portal, two 1.75 mm knotless FiberTack anchors are driven into the bone. Crucially, Dr. Garcia uses a specialized 15-degree angled guide to ensure the anchors dive safely into the bone without piercing through the thin glenoid wall.
