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Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions

Glenohumeral instability causing bipolar bone loss is increasingly being recognized and treated to minimize recurrence. Large Hill–Sachs and reverse Hill–Sachs lesions of the humerus must be addressed at the time of surgery to prevent recurrent dislocations and restore the native anatomic track. For...

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Autores principales: Alrabaa, Rami G., Padaki, Ajay S., Vijittrakarnrung, Chaiyanun, Lansdown, Drew A., Kandemir, Utku, Tangtiphaiboontana, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939596/
https://www.ncbi.nlm.nih.gov/pubmed/36814975
http://dx.doi.org/10.1016/j.eats.2022.08.057
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author Alrabaa, Rami G.
Padaki, Ajay S.
Vijittrakarnrung, Chaiyanun
Lansdown, Drew A.
Kandemir, Utku
Tangtiphaiboontana, Jennifer
author_facet Alrabaa, Rami G.
Padaki, Ajay S.
Vijittrakarnrung, Chaiyanun
Lansdown, Drew A.
Kandemir, Utku
Tangtiphaiboontana, Jennifer
author_sort Alrabaa, Rami G.
collection PubMed
description Glenohumeral instability causing bipolar bone loss is increasingly being recognized and treated to minimize recurrence. Large Hill–Sachs and reverse Hill–Sachs lesions of the humerus must be addressed at the time of surgery to prevent recurrent dislocations and restore the native anatomic track. For patients with epilepsy, locked dislocations may create defects that must be addressed with bony procedures, including osteochondral allograft reconstruction as soft-tissue remplissage may not adequately addresses the magnitude of the bone loss. Osteochondral allografts have been successfully used to address bony defects ranging from 20% to 30% of humeral bone loss whereas shoulder arthroplasty is indicated for larger defects where the native anatomy can no longer be restored. In this Technical Note, we present a technique to address concomitant large Hill–Sachs and reverse Hill–Sachs lesions.
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spelling pubmed-99395962023-02-21 Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions Alrabaa, Rami G. Padaki, Ajay S. Vijittrakarnrung, Chaiyanun Lansdown, Drew A. Kandemir, Utku Tangtiphaiboontana, Jennifer Arthrosc Tech Technical Note Glenohumeral instability causing bipolar bone loss is increasingly being recognized and treated to minimize recurrence. Large Hill–Sachs and reverse Hill–Sachs lesions of the humerus must be addressed at the time of surgery to prevent recurrent dislocations and restore the native anatomic track. For patients with epilepsy, locked dislocations may create defects that must be addressed with bony procedures, including osteochondral allograft reconstruction as soft-tissue remplissage may not adequately addresses the magnitude of the bone loss. Osteochondral allografts have been successfully used to address bony defects ranging from 20% to 30% of humeral bone loss whereas shoulder arthroplasty is indicated for larger defects where the native anatomy can no longer be restored. In this Technical Note, we present a technique to address concomitant large Hill–Sachs and reverse Hill–Sachs lesions. Elsevier 2022-12-21 /pmc/articles/PMC9939596/ /pubmed/36814975 http://dx.doi.org/10.1016/j.eats.2022.08.057 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Technical Note
Alrabaa, Rami G.
Padaki, Ajay S.
Vijittrakarnrung, Chaiyanun
Lansdown, Drew A.
Kandemir, Utku
Tangtiphaiboontana, Jennifer
Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title_full Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title_fullStr Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title_full_unstemmed Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title_short Anatomic Osteochondral Allograft Reconstruction for Concomitant Large Hill–Sachs and Reverse Hill–Sachs Lesions
title_sort anatomic osteochondral allograft reconstruction for concomitant large hill–sachs and reverse hill–sachs lesions
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939596/
https://www.ncbi.nlm.nih.gov/pubmed/36814975
http://dx.doi.org/10.1016/j.eats.2022.08.057
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