Arthroscopic Anatomic Humeral Head Reconstruction with Osteochondral Allograft Transplantation for Large Hill-sachs Lesions

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2013 Nov 23

PMID 24266001

Citations 11

Authors

Nimrod Snir

Theodore S Wolfson

Mathew J Hamula

Soterios Gyftopoulos

Robert J Meislin

Affiliations

Soon will be listed here.

Abstract

Anatomic reconstruction of the humeral head with osteochondral allograft has been reported as a solution for large Hill-Sachs lesions with or without glenoid bone loss. However, to date, varying techniques have been used. This technical note describes an arthroscopic reconstruction technique using fresh-frozen, side- and size-matched osteochondral humeral head allograft. Allograft plugs are press fit into the defect without internal fixation and seated flush with the surrounding articular surface. This technique restores the native articular contour of the humeral head without compromising shoulder range of motion. Potential benefits of this all-arthroscopic approach include minimal trauma to the soft tissue and articular surface without the need for hardware or staged reoperation.

Citing Articles

Arthroscopic humeral head defect filling with osteochondral autografts transplantation for near-track Hill-Sachs lesions.

Milano G, Colosio A, Agosti M, Bergomi A, Saccomanno M JSES Int. 2024; 8(4):686-691.

PMID: 39035648 PMC: 11258713. DOI: 10.1016/j.jseint.2024.02.004.

All-Arthroscopic Treatment of Off-Track Hill-Sachs Lesions Using Fresh Osteochondral Allograft Plugs: "Rocks in a Stream".

George A, Kraeutler M, McCulloch P, Lintner D Arthrosc Tech. 2023; 12(10):e1815-e1819.

PMID: 37942105 PMC: 10628156. DOI: 10.1016/j.eats.2023.06.012.

Utility of Talus Osteochondral Allograft Augmentation for Varying Hill-Sachs Lesion Sizes: A Cadaveric Study.

Ganokroj P, Garcia A, Hollenbeck J, Fossum B, Peebles A, Whalen R Orthop J Sports Med. 2023; 11(10):23259671231203285.

PMID: 37868214 PMC: 10585998. DOI: 10.1177/23259671231203285.

Harvest, Transport, and Storage of Fresh Humeral Head Osteochondral Allograft: Step-by-Step Protocol.

Borges Petros R, Prinz R, Rodarte R, Aguiar D, de Sousa E Arthrosc Tech. 2021; 10(7):e1805-e1813.

PMID: 34336579 PMC: 8322626. DOI: 10.1016/j.eats.2021.03.025.

Use of Allografts in Orthopaedic Surgery: Safety, Procurement, Storage, and Outcomes.

Beer A, Tauro T, Redondo M, Christian D, Cole B, Frank R Orthop J Sports Med. 2020; 7(12):2325967119891435.

PMID: 31909057 PMC: 6937533. DOI: 10.1177/2325967119891435.

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