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Patient\u2010reported outcomes were evaluated by Subjective Shoulder Value (SSV), Oxford Shoulder Instability Score (OSIS), Rowe score, Constant score, and visual analog scale (VAS) for pain. Active ROM, return to sports, recurrence, self\u2010reported apprehension, and complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 60 patients, including 28 AICG (Group A) and 32 RB (Group R). Mean glenoid bone defect was similar (17.7% \u00b1 3.1% vs 16.6% \u00b1 2.4%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .122). Both groups showed significant postoperative improvement in Rowe score, SSV, OSIS, and Constant score. No significant difference was found in postoperative Rowe Score (87.7 vs 85.2;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .198). A total of 20\/28 (71.4%) patients in Group A versus 26\/32 (81.3%) patients in Group R met the Patient Acceptable Symptomatic State determined by VAS pain score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .370). Both groups showed high return\u2010to\u2010sports rates (67.8% vs 71.8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .735) and slightly decreased ROM. There were two cases of recurrence in Group A versus one in Group R (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .594). Group R had insignificantly higher positive self\u2010reported apprehension rate (40.6% vs 17.9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .055).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For anterior shoulder instability with bipolar bone defects, both arthroscopic AICG and RB can result in satisfactory clinical outcomes, good postoperative ROM, and low recurrence and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  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