Osteoarticular Allograft Transplantation for Large Humeral Head Defects in Glenohumeral Instability

Kropf, Eric J.; Sekiya, Jon K.

doi:10.1016/j.arthro.2006.07.032

Cited by 123 publications

(65 citation statements)

References 9 publications

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“…Arthroscopic repairs of Bankart lesions that do not address an engaging Hill-Sachs defect when one is present have been associated with higher failure rates 2,5,7 . Several surgical procedures have been described for the management of engaging Hill-Sachs defects, including humeral rotational osteotomy, humeroplasty, reconstruction with osteochondral allograft, osteochondral transplantation, and partial or complete humeral head replacement 4,[8][9][10][11][12][13][14][15][16][17][18] . In 2008, Purchase et al described a technique of arthroscopic posterior capsulodesis and infraspinatus tenodesis into the Hill-Sachs defect to prevent engagement 19 .…”

mentioning

confidence: 99%

The Effect of the Remplissage Procedure on Shoulder Stability and Range of Motion

Elkinson

Giles

Faber

et al. 2012

Journal of Bone and Joint Surgery

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mentioning

confidence: 99%

The Effect of the Remplissage Procedure on Shoulder Stability and Range of Motion

Elkinson

Giles

Faber

et al. 2012

Journal of Bone and Joint Surgery

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“…Most authors consider the limit for non-approach to the HS lesion to be 20%, but values between 12.5% and 30% of head diameter loss are mentioned (3,9,15) . Other authors, such as Balg and Boileau (16) , use a combination of clinical and radiographic criteria as an indication for the approach to bone lesions both of the humerus and of the glenoid cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Several techniques are described in literature for approach to the HS lesion, such as: external derotation humeral osteotomy (17) , anterior capsuloplasty creating limitation of external rotation (2) , humeroplasty (18) , filling of the HS lesion, with soft parts or bone graft (15,19) , partial humeral head prostheses or the Bristow procedure (20,21) . However, most of the abovementioned procedures are technically difficult and some may require a posterior approach.…”

Section: Discussionmentioning

confidence: 99%

Resultados do procedimento artroscópico de "remplissage" na luxação anterior recidivante do ombro

Gracitelli¹,

Helito²,

Malavolta³

et al. 2011

Rev. bras. ortop.

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This article is available online in Portuguese and ABSTRACTObjective: To evaluate the clinical result from the filling ("remplissage") technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation. Methods: Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior shoulder dislocation. All of them had a Bankart lesion, associated with a Hill-Sachs lesion showing the "engaging" sign. The Hill-Sachs lesion defect was measured and showed an average bone loss of 17.3% (7.7% to 26.7%) in relation to the diameter of the humeral head. All the cases underwent arthroscopic repair of the Bankart lesion, together with filling of the Hill-Sachs lesion by means of tenodesis of the infraspinatus. Results: The Rowe score ranged from 22.5 (10 to 45) before the operation to 80.5 (5 to 100) after the operation (p < 0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p < 0.001). The measurements of external and internal rotation at abduction of 90º after the operation were 63.5º (45º to 90º) and 73º (50º to 92º) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation. Conclusion: Over the short term, the filling ("remplissage") arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions.

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“…Beyond this time point, cell viability and density decreases precipitously [45]. While the use of allograft remains attractive, clinical studies on this technique are limited mostly to its use in large Hill-Sachs lesions for recurrent dislocators [46][47][48][49][50]. This procedure carries the potential for disease transmission [51].…”

Section: Osteochondral Allograft Implantationmentioning

confidence: 99%

Management of cartilage defects in the shoulder

DePalma

Gruson

2012

Curr Rev Musculoskelet Med

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Articular cartilage lesions of the glenohumeral joint are an especially difficult clinical problem to manage, particularly in the younger, more active patient. Left untreated, these lesions may progress in the long-term, leading to further pain and disability. While shoulder arthroplasty remains a viable option in older patients with glenohumeral arthritis, concerns over component longevity and loosening in younger patients make it less attractive in that age group. Arthroscopic joint debridement with loose body removal, often with capsular release, has been successful in select, more sedentary patients. More recent techniques, including autologous chondrocyte implantation (ACI), osteochondral grafting (allograft versus autograft), interpositional arthroplasty, and microfracture surgery, have been evaluated for use in the shoulder. These procedures have experienced success in weight bearing joints, including the knee and ankle. Despite the good clinical results in the shoulder with short-term follow-up reported in some small series, the treatment of chondral injuries in the glenohumeral joint remains a challenging problem.

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Osteoarticular Allograft Transplantation for Large Humeral Head Defects in Glenohumeral Instability

Cited by 123 publications

References 9 publications

The Effect of the Remplissage Procedure on Shoulder Stability and Range of Motion

The Effect of the Remplissage Procedure on Shoulder Stability and Range of Motion

Resultados do procedimento artroscópico de "remplissage" na luxação anterior recidivante do ombro

Management of cartilage defects in the shoulder

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