Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 2, pp 445–449

Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft

  • Peter J. Millett
  • Jean-Yves Schoenahl
  • Bradley Register
  • Trevor R. Gaskill
  • Derek. F. P. van Deurzen
  • Frank Martetschläger
Shoulder

DOI: 10.1007/s00167-012-2254-5

Cite this article as:
Millett, P.J., Schoenahl, J., Register, B. et al. Knee Surg Sports Traumatol Arthrosc (2013) 21: 445. doi:10.1007/s00167-012-2254-5

Abstract

Posterior shoulder instability with glenoid deficiency is a rare entity and its surgical treatment is challenging. Reconstructive techniques have focused on extra-articular structural bone transfer that obstructs humeral translation and thereby prevents glenohumeral dislocation. However, long-term results are not as promising. In this report, the authors describe a technique for anatomic posterior glenoid reconstruction using an osteoarticular distal tibia allograft in two patients including their outcomes after 2 years.

Level of evidence IV.

Keywords

Glenoid bone lossPosterior shoulder instabilityBone deficiencyAllograftDistal tibia

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Peter J. Millett
    • 1
  • Jean-Yves Schoenahl
    • 1
  • Bradley Register
    • 2
  • Trevor R. Gaskill
    • 3
  • Derek. F. P. van Deurzen
    • 4
  • Frank Martetschläger
    • 1
    • 5
  1. 1.The Steadman ClinicSteadman Philippon Research InstituteVailUSA
  2. 2.Athens Orthopedic ClinicAthensUSA
  3. 3.Bone and Joints Sports Medicine InstituteNaval Medical Center PortsmouthPortsmouthUSA
  4. 4.Onze Lieve Vrouwe Gasthuis (OLVG)AmsterdamThe Netherlands
  5. 5.Department of Orthopaedic Sports Medicine, University Hospital Rechts der IsarMunich Technical UniversityMunichGermany