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After at least two years of monitoring, the authors analyzed the relationship between GBL or GBL grade and postoperative evaluations (American Shoulder and Elbow Surgeons score, Rowe score, Western Ontario Shoulder Instability Index, and patient satisfaction), the time it took to return to play, the occurrence of graft failure (insufficient union or translocation), and recurrence. In all shoulders examined, the mean GBL values of 109% and 92