Scapular glenoid defects are a common structural injury in anterior dislocations of the shoulder. One study found that more than 90% of patients with recurrent shoulder dislocations had a scaphoid glenoid defect. In the presence of a severe scapular glenoid defect, the dominant failure rate for capsule-glenoid repair alone can be as high as 2/3, and it is generally accepted that a scapular glenoid defect exceeding 1/4 of its width requires targeted measures. For severe scaphoid glenoid defects, a common international approach is the rostral synovectomy (Bristow-Latarjet technique). With this technique, not only can the bone defect of the scapular glenoid be compensated, but also the anti-dislocation mechanism of the united tendons can be utilized, which can be considered a multiplier and has great advantages in terms of preventing recurrence of dislocation. However, as mentioned earlier, the disadvantage of this technique is the disruption of the rostral shoulder arch, which is an important barrier to prevent the humeral head from dislocating superiorly when the patient has a rotator cuff injury. Disruption of the rostral arch sets the stage for upward dislocation of the humeral head in the event the patient has a subsequent rotator cuff injury. An additional measure for severe scapular glenoid defects is bone graft surgery, which can be performed with autologous or allogeneic bone blocks. While the usual method is arthrotomy, we use an arthroscopic suspension bone grafting technique (same as the aforementioned bone graft enhancement technique). The procedure is easier to perform with a special set of minimally invasive bone grafting instruments. Our study showed that the scapular glenoid suspension graft achieved a perfect fusion of the bone graft block with the scapular glenoid and fully compensated for the bone defect of the scapular glenoid (Figure 17). As previously mentioned, because the rostral synovial transfer technique disrupts the rostroscapular arch, we converted this technique to a joint tendon transfer technique that preserves the rostroscapular arch in order to take advantage of the joint tendon’s anti-dislocation mechanism. However, the bone mass carried by the joint tendon transfer was too small to compensate for the scapular glenoid defect, so we combined it with a scapular glenoid suspension implant technique to repair the scapular glenoid defect. Thus, the “triple technique of bone grafting” for anterior dislocation of the shoulder joint emerged, including glenoid lip repair of the joint capsule, bone grafting of the scapular glenoid suspension, and fixation of the joint tendon through the subscapularis muscle transfer. This technique is not only used for scapular glenoid defects, but also for young patients without bone defects who participate in competitive sports. This triple implant procedure makes full use of the advantages of each procedure while avoiding its disadvantages to achieve optimal results. Surgical treatment of anterior shoulder dislocation – patients with a humeral head bone defect In anterior shoulder dislocation, a posterior humeral head bone defect is also a common structural injury. If the defect is not severe, filling of the joint capsule tendon of the defect can be performed (Remplissage technique). This technique is easily accomplished arthroscopically and is an adjunct technique when repairing anterior shoulder dislocations. Larger humeral head bone defects need to be repaired by bone grafting. While humeral head bone grafting can be performed with a posterior incision of the joint, we perform the bone grafting arthroscopically, along with the coverage of the joint capsule tendon. Surgical Treatment of Anterior Shoulder Dislocation – Patients with Decapod Defects Patients who are very young, play competitive rival sports, have severe capsular ligament defects, severe scapular glenoid defects and humeral head defects are called patients with Decapod Defects. Patients with the “ten defects” require a “full-course” surgery, including (1) glenoid labral repair, (2) scapular glenoid suspension implant, (3) joint tendon transfer fixation, (4) inferior glenohumeral ligament reconstruction, and (5) humeral head implant tendon coverage. Among the “Manchurian” techniques, the articular capsule glenoid lip repair is of Western origin, while the arthroscopic scapular glenoid suspension implant, joint tendon transfer fixation, inferior glenohumeral ligament reconstruction and humeral head implant are all special techniques of Dr. Jinzhong Zhao. The arthroscopic completion of the “Full Han Chinese” procedure is the true pinnacle of shoulder arthroscopy technology.