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The subscapular sling method with quadriceps tendon bone (QTB) graft is a modification of the subscapular sling with a semitendinosus (ST) graft. The aim of the study was to test the biomechanical stability of the QTB sling procedure in human shoulder cadavers with severe anterior glenoid bone loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen cadaveric shoulders were tested with a force\u2013moment\u2010guided robot in three conditions: physiologically intact, anterior glenoid bone resection, and the subscapular sling procedure with a QTB graft. Joint stability was measured in anterior, anterior inferior and inferior directions in four glenohumeral joint positions: 0\u00b0 and 60\u00b0 of glenohumeral abduction, with each at 0\u00b0 and 60\u00b0 of external rotation. Maximum external rotation was measured at 0\u00b0 and 60\u00b0 glenohumeral abduction. Computer tomography scans were obtained preoperatively to plan the glenoid bone resection, as well as postoperatively to calculate the proportion of the glenoid bone actually resected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significantly decreased translations were observed in the shoulders with the QTB sling compared to the intact joint and the glenoid bone loss model. No significant differences in maximum external rotation were observed between the three different conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This biomechanical study revealed a significant stabilizing effect of the arthroscopic subscapular QTB graft sling procedure in human shoulder cadavers without compromising external rotation. Clinical trials may reveal the usefulness of this experimental method.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-05900-1","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T11:03:44Z","timestamp":1581678224000},"page":"170-180","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The novel arthroscopic subscapular quadriceps tendon\u2013bone sling procedure provides increased stability in shoulder cadavers with severe glenoid bone loss"],"prefix":"10.1002","volume":"29","author":[{"given":"Jan Arild","family":"Klungs\u00f8yr","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department \u00c5lesund Hospital, M\u00f8re and Romsdal Health Trust \u00c5lesund Norway"},{"name":"<!--<label>2<\/label>--> Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terje","family":"Vagstad","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department \u00c5lesund Hospital, M\u00f8re and Romsdal Health Trust \u00c5lesund Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Ferle","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Labor f\u00fcr Biomechanik und Biomaterialien, Orthop\u00e4dische Klinik der Medizinischen Hochschule Hannover\u2010Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon Olav","family":"Drogset","sequence":"additional","affiliation":[{"name":"<!--<label>7<\/label>--> Norwegian University of Science and Technology Trondheim Norway"},{"name":"<!--<label>8<\/label>--> Trondheim University Hospital Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solveig Roth","family":"Hoff","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Radiology M\u00f8re and Romsdal Hospital Trust \u00c5lesund Norway"},{"name":"<!--<label>4<\/label>--> Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences NTNU Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas F.","family":"Dalen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedic Department \u00c5lesund Hospital, M\u00f8re and Romsdal Health Trust \u00c5lesund Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Hurschler","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Labor f\u00fcr Biomechanik und Biomaterialien, Orthop\u00e4dische Klinik der Medizinischen Hochschule Hannover\u2010Annastift Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"von 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