The average time required to prepare the graft was 30 min; this time is avoided in the case in which we used the preformed xenograft. The average time to perform the ASA-BB procedure on the specimens was 112 min (80–150 min); the shorter time was obtained using the xenograft. The management of the sutures and buttons through the graft and glenoid tunnel was not difficult. In one case, it was necessary to flush out the graft at the glenoid level using a motorized burr. We have had no complications or fractures in any cases.