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Chapter 08 Video 1: Distal Tibial Allograft for Glenoid Bone Loss and Loss of Articular Cartilage
May 02, 2016
Contributors: CAPT (Ret) Matthew T. Provencher, MD MC USNR
This video demonstrates the use of distal tibial allograft for treating glenoid bone loss and loss of articular cartilage. Approaches to shoulder instability are discussed, and the advantages and disadvantages of fresh distal tibia allograft allograft are emphasized. These include that distal tibia graft includes a cartilage surface, the fact that the radius of curvature closely approximates that of the glenoid, and that cancellous bone from this area is dense. Glenohumeral instability is demonstrated, and patient set up is discussed. The procedure is performed via an open approach, and the anterior glenoid is burred and rasped to bleeding bone to accommodate the graft. The fresh allograft is cut from the lateral aspect of the distal tibia, K wires are inserted to aid in insertion, and the graft is pulse lavaged to remove marrow elements. The graft is inserted, and screws with washers and sutures are inserted close to parallel to the surface of the glenoid in a lag fashion. The K wires are removed and the capsule repaired to sutures attached to the washer. The procedure has had good initial and early results, demonstrating solid incorporation on CT scan, and is a good option for significant bone loss (>25-30%), prior failed open bone graft procedures (Latarjet), or failed open procedures.
Results for "Advanced Reconstruction: Shoulder 2"
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Chapter 19 Video 1: Open Biceps Subpectoral Tenodesis: Operative Tips to Safely Restore Function and Comesis
May 02, 2016
Chapter 20 Video 1: PASTA Repair
May 02, 2016
Chapter 21 Video 1: Medial-Pulley Transosseus-Equivalent Rotator Cuff Repair with Dedicated Anterior Cord Fixation for the "Simple" Rotator Cuff Tear
May 02, 2016
Chapter 24 Video 1: Arthroscopic Rotator Cuff Repair and Augmentation with Acellular Human Dermal Graft
May 02, 2016
Chapter 25 Video 1: Upper Subscapularis Tear with Supraspinatus Tear
May 02, 2016
Chapter 25 Video 2: Complex Releases for Complete Subscapularis Tears
May 02, 2016
Chapter 25 Video 3: The Lateral Subscapularis Release
May 02, 2016
Chapter 29 Video 1: The Anatomic Coracoclavicular Reconstruction Technique (ACCR)
May 02, 2016
Chapter 31 Video 1: Arthroscopic Capsular Release: Keys to Safe and Effective Restoration of Motion
May 02, 2016
Chapter 32 Video 1: Arthroscopic Management of Glenohumeral Osteoarthritis: Nonarthroplasty Options for Joint Preservation
May 02, 2016
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