Anterior Capsular Reconstruction of the Shoulder for Chronic Instability Using a Dermal Allograft

Anterior capsular reconstruction for recurrent anterior shoulder instability: a case report using dermal allograft

“…To our knowledge, there is only one study in the literature that reports follow-up data on one patient receiving anterior capsular reconstruction with a dermal allograft. 32 A case report on a 42-year-old male, who had previously failed arthroscopic Bankart repair and an open Latarjet procedure to his nondominant arm, was described by Zink et al. 32 At a 24-month postoperative follow-up, the patient’s shoulder remained stable, with no recurrent instances of anterior subluxation or dislocation.…”

“… 32 A case report on a 42-year-old male, who had previously failed arthroscopic Bankart repair and an open Latarjet procedure to his nondominant arm, was described by Zink et al. 32 At a 24-month postoperative follow-up, the patient’s shoulder remained stable, with no recurrent instances of anterior subluxation or dislocation. 32 Functional outcome scores for the ASES, Constant, and SANE were measured to be 70%, 97%, and 50%, respectively.…”

Open Anterior Capsular Reconstruction With a Dermal Allograft Is a Viable Nonarthroplasty Salvage Procedure for Irreparable Subscapularis Tears at a Minimum 2-Year Follow-up

“…There is a lack of clinical outcomes of ACR using human dermal allograft in the literature. Zink et al 22 recently reported on a single patient who underwent ACR with dermal allograft for recurrent anterior instability despite previous arthroscopic Bankart repair and Latarjet procedures. At 24 months postoperatively, the patient's shoulder remained stable with no recurrent instances of anterior subluxation or dislocation.…”

Acute compartment syndrome of the contralateral thigh following reconstructive shoulder surgery done for multidirectional shoulder instability in lateral decubitus position

“…An acellular dermal matrix patch (GraftJacket, Wright Medical, Memphis, Tennessee, USA) was used to augment the significant deficiency (thinning) of the ligaments spanning the anterior glenohumeral joint. [13][14][15] This unplanned step added approximately 45 min to the duration of surgery.…”

“…An attempt to place two screws into his relatively small coracoid resulted in a partial fragmentation of the coracoid apex, which added 30 min to the duration of surgery. An acellular dermal matrix patch (GraftJacket, Wright Medical, Memphis, Tennessee, USA) was used to augment the significant deficiency (thinning) of the ligaments spanning the anterior glenohumeral joint 13–15. This unplanned step added approximately 45 min to the duration of surgery.…”