Arthroscopic Anatomic Humeral Head Reconstruction With Osteochondral Allograft Transplantation for Large Hill-Sachs Lesions

Arthroscopic Anatomic Humeral Head Reconstruction With Osteochondral Allograft Transplantation for Large Hill-Sachs Lesions

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Anatomic reconstruction of the humeral head with osteochondral allograft has been reported as a solution for large Hill-Sachs lesions with or without glenoid bone loss.However, to date, varying techniques have been used.This technical note describes an arthroscopic reconstruction technique using fresh-frozen, side- and size-matched osteochondral humeral head allograft.

Allograft plugs are press Hayward HPxxA(1)(EE) fit into the defect without internal fixation and seated flush with the surrounding articular surface.This technique restores the native articular contour of the humeral head without compromising shoulder range of motion.Potential benefits of this all-arthroscopic approach include minimal Stoves Sterling S1000DF 100cm Dual Fuel Range Cooker - Black 444444491 trauma to the soft tissue and articular surface without the need for hardware or staged reoperation.