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Although the coracoid\u2010based Latarjet procedure has long been considered the ultimate treatment for complex anterior shoulder instability with glenoid or bipolar bone loss, few authors have considered the unimaginable question: what do you do when a patient fails Latarjet? A modified arthroscopic technique of the Eden\u2010Hybinette procedure allows for revision anterior glenoid augmentation of critical glenoid bone loss with autologous tricortical iliac crest, while suture button fixation may obviate hardware complications previously seen with bicortical screw fixation. Although distal tibial allograft provides excellent congruity, viable articular cartilage, and no harvest site morbidity, financial costs and graft availability must also be considered. With favorable patient\u2010reported outcomes, excellent rates of radiographic union, and reliable return to sport, the Eden\u2010Hybinette procedure with suture button\u2010based construct offers a viable alternative for patients with advanced glenoid bone loss (&gt;20%) or revision scenarios.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.11.041","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T03:03:50Z","timestamp":1648695830000},"page":"1134-1136","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Editorial Commentary:<\/i>\n                    Buttoning Up After Recurrent Anterior Shoulder Instability: The Eden\u2010Hybinette Procedure Is an Effective Salvage After Failed 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