The treatment of recurrent glenohumeral instability, especially with a concomitant bony lesion, remains challenging. Moreover, the presence of an engaging reverse Hill-Sachs in combination with posterior instability will result in the need for a more aggressive treatment option. Large bony defects of the humeral head have traditionally been treated with a fresh humeral head allograft. [...]
Treatment of Glenoid Bone loss: Use of Cutting Instrument for Fresh Osteochondral Distal Tibia Allograft Preparation
Glenoid bone loss presents a major risk for glenohumeral instability, and while most surgeons consider the Latarjet procedure as the gold standard, failures can occur with this technique. The search for alternative grafts to address glenoid bone loss is a major topic of ongoing research in the field. Of these techniques, the distal tibia allograft [...]
Treatment of Bipolar Bone Loss: Use of Fresh Osteochondral Distal Tibia and Humeral Head Allografts
With increasing shoulder instability events, the likelihood of a bony lesion of the glenoid and/or humeral head rises. Although bone loss of either the glenoid or humeral head may result in recurrent instability, bone injuries on both sides of the joint – or bipolar lesions have been shown, in particular, to result in a negative [...]
Latarjet Technique for Treatment of Anterior Shoulder Instability with Glenoid Bone Loss
Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 15% to 30% of the glenoid surface area and may also be considered for the primary [...]