Anatomical Glenoid Reconstruction Using Fresh Osteochondral Distal Tibia Allograft After Failed Latarjet Procedure.

Autor: Sanchez A; Department of Quality and Patient Safety, Jackson Memorial Hospital, Miami, Florida, U.S.A., Ferrari MB; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Akamefula RA; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Frank RM; Section of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Sanchez G; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Provencher MT; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
Jazyk: angličtina
Zdroj: Arthroscopy techniques [Arthrosc Tech] 2017 Apr 17; Vol. 6 (2), pp. e477-e482. Date of Electronic Publication: 2017 Apr 17 (Print Publication: 2017).
DOI: 10.1016/j.eats.2016.11.003
Abstrakt: In the treatment of recurrent anterior glenohumeral instability, the Latarjet procedure has been shown to fail. This results in a need for viable revisional procedures for patients who present with this challenging pathology. We report our preferred technique for anatomical glenoid reconstruction using a fresh osteochondral distal tibia allograft after a failed Latarjet procedure. This bony augmentation technique employs a readily available dense, weight-bearing osseous tissue source that has excellent conformity, as well as the added benefit of a cartilaginous surface to correct chondral deficiencies. Given its effectiveness in the Latarjet revision setting and low complication rate, the distal tibia allograft is a reasonable treatment option.
Databáze: MEDLINE