title: Use of fresh osteochondral glenoid allograft to treat posteroinferior bone loss in chronic posterior shoulder instability.
abstract: We report our experience with the use of fresh glenoid osteochondral allograft in the treatment of a chronic posttraumatic posterior subluxation of the shoulder associated with glenoid bone loss in a 54-year-old recreational football player.  Based on the pathoanatomy of the lesion and availability of a bone bank providing fresh allograft, we opted for an open anatomic reconstruction using a fresh glenoid allograft. A posterior approach was used; the prepared allograft was placed in the appropriate anatomic position and fixed with 2 small fragment screws with washers. At 2-year follow-up, the clinical outcome is excellent.  This procedure may represent an effective option for the treatment of chronic posterior shoulder instability due to glenoid bone loss. However, the long-term efficacy and the progression of glenohumeral osteoarthritis need to be evaluated.
authors: Sports Medicine and Arthroscopy, University of Toronto Orthopaedic Sports Medicine at Women's College Hospital, Ontario, Canada. massimopetrera@gmail.com
authors: Massimo
authors: M
authors: Petrera
authors: Christian J
authors: CJ
authors: Veillette
authors: Drew W
authors: DW
authors: Taylor
authors: Sam S
authors: SS
authors: Park
authors: John S
authors: JS
authors: Theodoropoulos
mesh_terms: D001862:Bone Resorption / Q000601:surgery*; D016025:Bone Transplantation; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012783:Shoulder Dislocation / Q000175:diagnosis / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D014184:Transplantation, Homologous