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Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft


Posterior shoulder instability with glenoid deficiency is a rare entity and its surgical treatment is challenging. Reconstructive techniques have focused on extra-articular structural bone transfer that obstructs humeral translation and thereby prevents glenohumeral dislocation. However, long-term results are not as promising. In this report, the authors describe a technique for anatomic posterior glenoid reconstruction using an osteoarticular distal tibia allograft in two patients including their outcomes after 2 years.

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The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

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Correspondence to Peter J. Millett.

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Millett, P.J., Schoenahl, J., Register, B. et al. Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft. Knee Surg Sports Traumatol Arthrosc 21, 445–449 (2013).

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  • Glenoid bone loss
  • Posterior shoulder instability
  • Bone deficiency
  • Allograft
  • Distal tibia