Review Question - QID 220035

A 68-year-old female presents to the clinic for continued management of right shoulder rotator cuff arthropathy, which has been recalcitrant to physical therapy, over-the-counter analgesics, and corticosteroid injections. She subsequently undergoes the procedure as shown in Figure A. Two years later, the patient presents to the clinic for follow-up, and repeat radiographs are obtained (Figure B). Which of the following technical steps functions to prevent the entity seen in Figure B?