Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 2, pp 445-449

First online:

Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft

  • Peter J. MillettAffiliated withThe Steadman Clinic, Steadman Philippon Research Institute Email author 
  • , Jean-Yves SchoenahlAffiliated withThe Steadman Clinic, Steadman Philippon Research Institute
  • , Bradley RegisterAffiliated withAthens Orthopedic Clinic
  • , Trevor R. GaskillAffiliated withBone and Joints Sports Medicine Institute, Naval Medical Center Portsmouth
  • , Derek. F. P. van DeurzenAffiliated withOnze Lieve Vrouwe Gasthuis (OLVG)
  • , Frank MartetschlägerAffiliated withThe Steadman Clinic, Steadman Philippon Research InstituteDepartment of Orthopaedic Sports Medicine, University Hospital Rechts der Isar, Munich Technical University

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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.


Glenoid bone loss Posterior shoulder instability Bone deficiency Allograft Distal tibia