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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.

Author information

1
Department of Quality and Patient Safety, Jackson Memorial Hospital, Miami, Florida, U.S.A.
2
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
3
Section of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
4
The Steadman Clinic, Vail, Colorado, U.S.A.

Abstract

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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