Osteochondral Autograft Transfer Technique for Glenoid Osteochondral Defect

Abstract

Glenoid osteochondral defects can be a significant source of pain and disability in an active population. Many treatments are available, but most joint-preserving procedures are limited to debridement, abrasion chondroplasty, or marrow-stimulation techniques, all of which depend on healthy underlying bone and none of which address underlying bony pathology. Osteochondral autograft transfer has been a successful form of treatment for lesions in the knee, elbow, and ankle, especially when subchondral bone is involved. We describe an arthroscopic method of treating glenoid osteochondral lesions with an osteochondral autograft transfer using a graft from the patient's ipsilateral knee. This technique addresses both cartilage and osseous pathology with minimal morbidity and provides a good biological restorative option for patients with isolated glenoid osteochondral defects.

Assessment of Safe Cartilage Harvesting Quantity in the Shoulder: A Cadaveric Study

“… 3 , 13 , 14 , 18 In an osteochondral autograft procedure, osteochondral autograft plugs consisting of bone and cartilage are harvested, often from the knee, are then transferred and applied onto the defect. 19 , 20 However, a common complication is harvest-site morbidity. 1 Osteochondral allograft transfers have primarily been used to repair large humeral head defects.…”