Talar Allograft Preparation for Treatment of Reverse Hill-Sachs Defect in Recurrent Posterior Shoulder Instability
Issued Date
2022-09-01
Resource Type
eISSN
22126287
Scopus ID
2-s2.0-85136534310
Journal Title
Arthroscopy Techniques
Volume
11
Issue
9
Start Page
e1625
End Page
e1631
Rights Holder(s)
SCOPUS
Bibliographic Citation
Arthroscopy Techniques Vol.11 No.9 (2022) , e1625-e1631
Suggested Citation
Liles J.L., Peebles A.M., Saker C.C., Ganokroj P., Mologne M.S., Provencher M.T. Talar Allograft Preparation for Treatment of Reverse Hill-Sachs Defect in Recurrent Posterior Shoulder Instability. Arthroscopy Techniques Vol.11 No.9 (2022) , e1625-e1631. e1631. doi:10.1016/j.eats.2022.05.009 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85578
Title
Talar Allograft Preparation for Treatment of Reverse Hill-Sachs Defect in Recurrent Posterior Shoulder Instability
Other Contributor(s)
Abstract
Reverse Hill-Sachs lesions (rHSLs) after chronic posterior shoulder instability are important to recognize and treat appropriately. Treatment options for posterior instability with rHSL in the current literature are primarily based on percentage of humeral bone loss. In cases of moderate (25% to 50%) anterolateral humeral head bone loss, fresh osteochondral allografts are preferred. Recent literature has indicated that the talus serves as a robust grafting alternative site for the humeral head, as the talar dome shows high congruency and offers variable sizes. The purpose of this Technical Note is, therefore, to describe our technique for talus allograft preparation for the treatment of a large rHSL that highlights precise cutting anatomy, sizing options, and use of orthobiologics to ensure excellent talus union to the native humeral head surface.