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Arthrosc Tech. 2017 Apr 17;6(2):e477-e482. doi: 10.1016/j.eats.2016.11.003. eCollection 2017 Apr.

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

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Department of Quality and Patient Safety, Jackson Memorial Hospital, Miami, Florida, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Section of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.


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.

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