Anatomical glenoid reconstruction via a J-bone graft for recurrent posttraumatic anterior shoulder dislocation

Auffarth, Alexander; Kralinger, Franz; Resch, Herbert

doi:10.1007/s00064-011-0055-5

Cited by 37 publications

(16 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We feel that allograft offers the advantage of a larger graft in anticipation of resorption. Donor site complications for iliac crest bone graft must also be considered 54–57…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic anatomic glenoid reconstruction demonstrates its safety with short-term to medium-term results for anteroinferior shoulder instability: a systematic review

2020

View full text Add to dashboard Cite

“…We feel that allograft offers the advantage of a larger graft in anticipation of resorption. Donor site complications for iliac crest bone graft must also be considered 54–57…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic anatomic glenoid reconstruction demonstrates its safety with short-term to medium-term results for anteroinferior shoulder instability: a systematic review

2020

View full text Add to dashboard Cite

“…The data supporting this conclusion were obtained via the literature review and the patient-administered survey. This finding is surprising given the increasing number of research studies that advocate for open treatment for critical osseous deficits, 10 , 15 , 24 , 31 although concrete treatment protocols are lacking due to individualized patient preferences, 6 novel surgical techniques, 1 , 4 , 46 and improved understanding of glenoid reconstruction. 1 , 31 However, it is important to note that age and activity level were not directly modeled in this study.…”

Section: Discussionmentioning

confidence: 99%

Bony Versus Soft Tissue Reconstruction for Anterior Shoulder Instability

McLaughlin

Miniaci

Jones

2015

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:One complication of anteroinferior glenohumeral shoulder dislocation is a critical bone defect that requires surgical repair to prevent recurrent instability. However, controversy exists regarding the surgical management because both open and arthroscopic surgeries have respective advantages and disadvantages. Moreover, it is difficult to determine the patient’s preferred treatment, as factors that influence treatment choice include recurrence rates, morbidity of the procedures, and patient preferences.Hypothesis:Patients who have a higher probability of recurrent instability after arthroscopic surgery will select open surgery whereas patients with a lower probability of recurrent instability after arthroscopic surgery will favor arthroscopy.Study Design:Economic and decision analysis; Level of evidence, 2.Methods:A decision tree was constructed to model each hypothetical outcome after open or arthroscopic surgery for glenohumeral instability in patients with bone defects. A literature review was performed to determine the probability of occurrence for each node while utility values for each outcome were obtained via patient-administered surveys given to 50 patients without prior history of shoulder injury or dislocation. Fold-back analysis was then performed to show the optimal treatment strategy. Finally, sensitivity analysis established the thresholds at which open treatment becomes the optimal treatment.Results:The ultimate expected value—the objective evaluation of all potential outcomes after choosing either open or arthroscopic surgery—was found to be greater for arthroscopic surgery than for open surgery (87.17 vs 81.64), indicating it to be the preferred treatment. Results of sensitivity analysis indicated that open surgery becomes the preferred treatment when probability of recurrence after arthroscopic treatment is ≥23.8%, although varying the utility, defined as an aggregate patient preference for a particular outcome, has no effect on the model. When the rate of no complication after open surgery is 97.6%, open surgery becomes the patient’s preferred treatment.Conclusion:Arthroscopic surgery is an acceptable treatment if recurrent instability occurs consistently at ≤23.8%. This has important implications given the technical difficulty of successfully performing arthroscopic fixation to resolve recurrent anteroinferior glenohumeral dislocations associated with critical osseous defects. However, due to a lack of clinical outcomes studies, more research is needed to better predict the optimal operative treatment.

show abstract

“…[ 53 ] recurrence of instability was reported in 20% of 77 patients. Resulting in 8% re-operation due to persistent instability, with still a good to excellent result in 83% of the patients using the Rowe score [ 54 ]. The long term follow-up provided some other interesting information.…”

Section: Managementmentioning

confidence: 99%

Management of Glenoid Defects in Anterior Shoulder Instability: A Review of Current Concepts

Harmsen

Huijsmans

2017

Open Orthopaedics J.

View full text Add to dashboard Cite

Background:Bone defects of the glenoid are often found in patients with traumatic anterior glenohumeral instability. There is no consensus regarding which glenoid defects need to be treated surgically. The aim of this review is to describe the management of glenoid defects in anterior shoulder instability in patients with traumatic anterior glenohumeral instability.Methods:We conducted a review of the literature through a Pubmed search.Results:The management of glenoid defects in anterior shoulder instability consists of conservative or operative treatment. There is a wide variety in the treatment options. Also, the diagnostics of the presence and size of a glenoid bone defect is still debated on in literature.Conclusion:Based on the current available literature, we advise to begin management of traumatic anterior shoulder instability combined with glenoid defects with conservative treatment. Operative treatment can be used when the bone fragment consists of a large glenoid surface and the patient is active, or in the case of a chronic defect or recurrent instability.

show abstract

Anatomical glenoid reconstruction via a J-bone graft for recurrent posttraumatic anterior shoulder dislocation

Cited by 37 publications

References 29 publications

Arthroscopic anatomic glenoid reconstruction demonstrates its safety with short-term to medium-term results for anteroinferior shoulder instability: a systematic review

Arthroscopic anatomic glenoid reconstruction demonstrates its safety with short-term to medium-term results for anteroinferior shoulder instability: a systematic review

Bony Versus Soft Tissue Reconstruction for Anterior Shoulder Instability

Management of Glenoid Defects in Anterior Shoulder Instability: A Review of Current Concepts

Contact Info

Product

Resources

About