The utilization of computer planning and 3D-printed guide in the surgical management of a reverse Hill-Sachs lesion

Ardente, Pierluigi Di Felice; Fusaro, Fernando Menor; Abad, Miguel Pérez; Soldado, Francisco; Coll, Jordi Querolt

doi:10.1016/j.jseint.2020.04.013

Cited by 5 publications

(1 citation statement)

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“…Bone grafts are usually ordered as whole bone (e.g., a femoral head) that can be shaped by freehand intraoperatively by the surgeon. If preoperatively planned, the size, shape, and orientation of the graft required to fill the defect can be preoperatively prepared by the bone bank or intra-operatively prepared using 3D-printed jigs to cut the exact shape required [23,24]. Typical bone graft shapes are concentric discs, wedges, and "Figure 7" grafts.…”

Section: Structural Allograftsmentioning

confidence: 99%

The Use of Glenoid Structural Allografts for Glenoid Bone Defects in Reverse Shoulder Arthroplasty

Ingoe,

Italia,

Gilliland

et al. 2024

JCM

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Background: The use of reverse shoulder arthroplasty as a primary and revision implant is increasing. Advances in implant design and preoperative surgical planning allow the management of complex glenoid defects. As the demand for treating severe bone loss increases, custom allograft composites are needed to match the premorbid anatomy. Baseplate composite structural allografts are used in patients with eccentric and centric defects to restore the glenoid joint line. Preserving bone stock is important in younger patients where a revision surgery is expected. The aim of this article is to present the assessment, planning, and indications of femoral head allografting for bony defects of the glenoid. Methods: The preoperative surgical planning and the surgical technique to execute the plan with a baseplate composite graft are detailed. The preliminary clinical and radiological results of 29 shoulders which have undergone this graft planning and surgical technique are discussed. Clinical outcomes included visual analogue score of pain (VAS), American Shoulder and Elbow Surgeons score (ASES), Constant–Murley score (CS), satisfaction before and after operation, and active range of motion. Radiological outcomes included graft healing and presence of osteolysis or loosening. Results: The use of composite grafts in this series has shown excellent clinical outcomes, with an overall graft complication rate in complex bone loss cases of 8%. Conclusion: Femoral head structural allografting is a valid and viable surgical option for glenoid bone defects in reverse shoulder arthroplasty.

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Section: Structural Allograftsmentioning

confidence: 99%