Open Reconstruction of Large Bony Glenoid Erosion with Allogeneic Bone Graft for Recurrent Anterior Shoulder Dislocation

Abstract

This technique for open reconstruction is viable for the treatment of recurrent anterior glenohumeral instability with large bony glenoid erosion.

Prediction of coracoid thickness using a glenoid width–based model: implications for bone reconstruction procedures in chronic anterior shoulder instability

“…A number of authors advocate the use of allograft or autograft structural bone grafting. 4,6,9,19,20,22,24,34,37,42 Autologous ICBG provides a nearly limitless amount of graft that is high contourable and non-immunogenic and offers both osteoinductive and osteoconductive properties. 3,18 Harvesting of autologous ICBG, however, is not without risk and is associated with complication rates of up to 25%, including transient or permanent lateral femoral cutaneous nerve palsy, deep hematoma, infection, persistent donorsite pain, herniation of abdominal contents through massive donor sites, and fracture of the iliac wing.…”

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

“…Several studies have commented on the use of allografts for glenoid reconstructions. These include distal tibia [71] and femoral head allografts [72] . It has been proposed that the use of allografts may have several advantages over autografts including a more accurate restoration of the anatomical contour of the glenoid as well as the addition of a cartilaginous interface for articulation with the humeral head.…”

Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment

“…The procedure has typically been performed through an open anterior approach, however recently arthroscopic coracoid transfer has been described [72]. In revision cases where the coracoid is no longer available, iliac crest bone autograft or allograft bone can be used for the bony augmentation [73,74]. These techniques lack the benefit of the soft tissue buttress provided by the Latarjet and Bristow techniques.…”