Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

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The treatment of recurrent glenohumeral instability, especially with a concomitant bony lesion, remains challenging.This is especially true in the case of posterior instability given its mpu63zm/a less common incidence.Moreover, the presence of an engaging reverse Hill-Sachs lesion in combination with posterior instability will result in the need for a more aggressive treatment option.In comparison with a Hill-Sachs lesion, a reverse Hill-Sachs lesion features greater chondral deficiency that must be addressed during treatment.We propose the talus allograft as a potential allograft for treatment of an engaging reverse Hill-Sachs lesion.

The superior articular surface of the talus may be used to reconstruct the articular surface of nightstick twm-850xl the humeral head.In this technical note, we describe our preferred primary technique for treatment of an engaging reverse Hill-Sachs lesion with recurrent glenohumeral instability through use of a fresh osteochondral talus allograft, as well as discuss the advantages and disadvantages of this allograft option.