Iliac-Crest Graft and Distal Tibia Allograft Procedure

  • Matthew T. Provencher
  • Andrew R. Hsu
  • Neil S. Ghodadra
  • Anthony A. Romeo


Glenohumeral stability depends on active and passive restraints as well as coordinated interactions between the rotator-cuff muscles and bony structures to properly maintain the humeral head within the glenoid. Glenohumeral instability is a pathologic state in which excessive translation of the humeral head within the glenoid leads to pain, decreased range of motion, impaired functional status, and subluxation or dislocation. This may be a result of injury to the labrum, capsule, ligaments, rotator-cuff muscles, or bony articular surface. The labrum is an important structure that deepens the glenoid fossa and serves as a static stabilizer and attachment for capsuloligamentous structures, and the glenoid is a critical structure that helps maintain static restraint of the humerus [1]. Traumatic bony insults causing glenoid-bone deficiency are a common reason for recurrent anterior shoulder instability and capsulolabral reconstruction failure. Glenoid reconstruction can be surgically challenging, and there are a number of reconstruction techniques, including coracoid transfer [2], [3], iliac-crest autograft [4], [5], allograft glenoid tissue, and other allograft tissue, such as the femoral head, and osteochondral allografts such as the distal tibia [6].


Humeral Head Distal Tibia Lateral Femoral Cutaneous Nerve Glenohumeral Instability Anterior Glenoid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Italia 2011

Authors and Affiliations

  • Matthew T. Provencher
  • Andrew R. Hsu
  • Neil S. Ghodadra
  • Anthony A. Romeo

There are no affiliations available

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