Glenohumeral Osteoplasty Augmented Therapy (G.O.A.T.): A Novel Modification of the Comprehensive Arthroscopic Management Procedure Incorporating Biological Augmentation for the Arthritic, Contracted Shoulder
Sedeek Mosaid FRCS (Tr & Orth)1*, Alun Yewlett FRCS (Tr & Orth)1, Charles Corbin FRCS (Tr & Orth)1, Paul Lee MD PhD FRCS (Tr & Orth)1
1Department of Trauma and Orthopaedic Surgery, United Lincolnshire Teaching Hospitals NHS Trust, Lincoln LN2 5QY, United Kingdom.
*Corresponding Author: Sedeek Mosaid, Department of Trauma and Orthopaedic Surgery, United Lincolnshire Teaching Hospitals NHS Trust, Lincoln LN2 5QY, United Kingdom.
https://doi.org/10.58624/SVOAOR.2026.06.033
Received: October 10, 2026
Published: October 26, 2026
Citation: Mosaid S, Yewlett A, Corbin C, Lee P. Glenohumeral Osteoplasty Augmented Therapy (G.O.A.T.): A Novel Modification of the Comprehensive Arthroscopic Management Procedure Incorporating Biological Augmentation for the Arthritic, Contracted Shoulder. SVOA Orthopaedics 2026, 6:5, 252 258. doi: 10.58624/SVOAOR.2026.06.033
Abstract
Glenohumeral osteoarthritis (GHOA) in younger patients presents a clinical challenge, as total shoulder arthroplasty carries an increased risk of revision. Arthroscopic joint-preserving procedures such as the comprehensive arthroscopic management (CAM) procedure provide symptom relief, but long-term durability remains variable. This Technical Note describes the glenohumeral osteoplasty augmented therapy (G.O.A.T.) technique, a modification of the CAM procedure incorporating a three-layer biological augmentation strategy. The procedure is performed in the beach-chair position using standard posterior, anterior and accessory posterior portals. The operative sequence comprises glenohumeral inspection, capsular release, focused inferomedial humeral osteoplasty, subchondral microfracture, collagen scaffold application and intra-articular micro-fragmented adipose tissue (mFAT) injection. The G.O.A.T. technique integrates established mechanical joint-preservation components with biologically plausible adjuncts within a single procedure. The biological rationale for each augmentation layer is supported by preclinical and limited clinical evidence. No clinical outcome data are reported. Prospective studies with validated outcome measures are required to determine the clinical effectiveness and durability of this combined approach.
Keywords: Glenohumeral Osteoarthritis; Arthroscopy; Osteoplasty; Biological Augmentation; Micro-Fragmented Adipose Tissue