Arthroscopic Implant-Free Bone Grafting for Shoulder Instability With Glenoid Bone Loss

Anderl, Werner; Pauzenberger, Leo; Laky, Brenda; Kriegleder, Bernhard; Heuberer, Philipp R.

doi:10.1177/0363546515625283

Cited by 52 publications

(127 citation statements)

References 45 publications

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“…Eight out of the nine studies (88.9%) reported clinical or functional subjective outcome variables [21][22][23][24][25][27][28][29]. All mean postoperative clinical/functional subjective scores which were reported in the studies of this review were significantly improved compared to the respective mean preoperative values.…”

Section: Clinical/functional Subjective Scoresmentioning

confidence: 82%

“…1). Following the application of the inclusionexclusion criteria, nine articles were found eligible for our systematic analysis [21][22][23][24][25][26][27][28]. A summary flowchart of our literature search according to PRISMA guidelines can be found in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies (44.4%) used screws for the bone block fixation [22,23,25,29], while one study (11.1%) used endobuttons [21] and the other one (11.1%) sutures [27]. Finally, there were two studies (22.2%) that examined the use of a J-shaped formed iliac crest bone block that fixed without any implants (implant-free technique) [26,28] and one study [24] (11.1%) that comprised two groups: in the first one, the coracoid graft was fixed with screws, while in the second one, a J-shaped formed iliac crest bone block was fixed without any implants ( Table 2).…”

Section: Type Of Graft and Fixationmentioning

confidence: 99%

“…All mean postoperative clinical/functional subjective scores which were reported in the studies of this review were significantly improved compared to the respective mean preoperative values. The Rowe score was the most commonly used, since it was documented in seven studies (77.8 % of all studies) [21][22][23][24][27][28][29]. The Western Ontario Shoulder Instability Index (WOSI) was used in five studies (55.6%) [22][23][24][25]29].…”

Section: Clinical/functional Subjective Scoresmentioning

confidence: 99%

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Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

et al. 2020

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Background: A number of clinical trials have been published assessing the role of iliac crest bone grafting for the management of recurrent anterior instability with glenoid bone loss in contemporary practice. We therefore performed a systematic review of contemporary literature to examine the effect of iliac crest bone grafting on postoperative outcomes of these patients. Our hypothesis is that contemporary iliac crest bone block techniques are associated with low reoperation and complication rates combined with satisfactory functional results. Methods:The US National Library of Medicine (PubMed/MEDLINE), the Cochrane Database of Systematic Reviews, and EMBASE were searched between January 2008 and December 2019 for relevant publications.Results: Following the application of the inclusion-exclusion criteria, nine articles were found eligible for our analysis. In total, 261 patients (mean age range, 25.5-37.5 years; mean follow-up range, 20.6-42 months) were included in the studies of the current review. The mean modified Coleman score was 48.6 (range 37-65), indicating an overall low-to-moderate methodological quality. In the short term, the overall all-cause reoperation rate was 6.1%, while the rate of recurrent instability was 4.8%. The graft non-union rate was 2.2%, while the rate of osteolysis, graft fracture, and infection was 0.4%, 0.9%, and 1.7%, respectively. Finally, hardware-related complications, such as screw breakage or symptomatic mechanical irritation around the screw insertion, occurred in 3.9% of the patients. Conclusions: Iliac crest bone block techniques in contemporary practice are safe and effective in the short-term (< 4 years) follow-up for the management of anterior shoulder instability with substantial glenoid bone deficiency. However, further studies of higher quality and longer follow-up are required to establish the therapeutic value of these techniques as well as to clarify whether there are differences in the outcomes of arthroscopic and open iliac crest bone block procedures.

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Section: Clinical/functional Subjective Scoresmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

Section: Type Of Graft and Fixationmentioning

confidence: 99%

Section: Clinical/functional Subjective Scoresmentioning

confidence: 99%

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Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

et al. 2020

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“…The greatest challenge in the treatment of ADFNBD is how to provide sufficient stability and potential for osteogenesis. A J-shaped iliac crest is a bicortical structural bone graft [9][10][11] used in the conventional surgical procedure for reconstructing the articular hernia to resolve shoulder instability.…”

Section: Introductionmentioning

confidence: 99%

J-bone graft with double locking plate: a symphony of mechanics and biology for atrophic distal femoral non-union with bone defect

Guo

Wang

et al. 2020

J Orthop Surg Res

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Objective: Atrophic distal femur non-union with bone defect (ADFNBD) has been a worldwide challenge to treat due to the associated biological and mechanical problems. The purpose of this study was to introduce a new solution involving the use of a J-shaped iliac crest bone graft (J-bone) combined with double-plate (DP) in the treatment of femoral non-union. Methods: Clinically, 18 patients with ADFNBD were included in this retrospective study and were treated with a combination of J-bone graft and DP. The average follow-up time was 22.1 ± 5.5 months (range, 14 to 34 months). The imaging information and knee joint activity tests and scores were used to evaluate the time to weight-bearing, the time to non-union healing, and the knee joint mobility. A finite element analysis was used to evaluate the differences between the following: (1) the use of a lateral locking plate (LLP) only group (LLP-only), (2) a DP only group (DP-only), (3) a DP with a J-bone group (DP+J-bone), and (4) an LLP with a J-bone group (LLP+J-bone) in the treatment of ADFNBD. A finite element analysis ABAQUS 6.14 (Dassault systems, USA) was used to simulate the von Mises stress distribution and model displacement of the plate during standing and normal walking. Result: All patients with non-union and bone defect in the distal femur achieved bone healing at an average of 22.1 ± 5.5 months (range, 14 to 34 months) postoperatively. The average healing time was 6.72 ± 2.80 months. The knee Lysholm score was significantly improved compared with that before surgery. Under both 750 N and 1800 N axial stress, the maximum stress with the DP+J-bone structure was less than that of the LLP+J-bone and DP-only structures, and the maximum stress of J-bone in the DP+J-bone was significantly less than that of the LLP+J-bone+on structure. The fracture displacement of the DP+J-bone structure was also smaller than that of the LLP+J-bone and DP-only structures. Conclusion: J-bone combined with DP resulted in less maximum stress and less displacement than did a J-bone combined with an LLP or a DP-only graft for the treatment of ADFNBD. This procedure was associated with less surgical trauma, early rehabilitation exercise after surgery, a high bone healing rate, and a satisfactory rate of functional recovery. Therefore, a combination of J-bone and DP is an effective and important choice for the treatment of ADFNBD.Keywords: Distal femur non-union with bone defect, J-shaped iliac crest bone graft, Finite element analysis

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Complications of Bony Procedures for Shoulder Instability

Popescu¹,

Haeni

2019

Complications in Arthroscopic Shoulder Surgery

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Arthroscopic Implant-Free Bone Grafting for Shoulder Instability With Glenoid Bone Loss

Cited by 52 publications

References 45 publications

Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

Iliac Crest Bone Grafting for the Management of Anterior Shoulder Instability in Patients with Glenoid Bone Loss: a Systematic Review of Contemporary Literature

J-bone graft with double locking plate: a symphony of mechanics and biology for atrophic distal femoral non-union with bone defect

Complications of Bony Procedures for Shoulder Instability

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