AJSM December 2022 Podcast: Biomechanical Analysis of Posterior Open-Wedge Osteotomy and Glenoid Concavity Reconstruction Using an Implant-Free, J-Shaped Iliac Crest Bone Graft
Posterior open-wedge osteotomy and glenoid
reconstruction using a J-shaped iliac crest bone graft showed
promising clinical results for the treatment of posterior
instability with excessive glenoid retroversion and posteroinferior
glenoid deficiency.
In conclusion, biomechanical analysis of the
posterior J-graft demonstrated reliable restoration of initial
glenohumeral joint stability, normalization of contact patterns
comparable with that of an intact shoulder joint with neutral
retroversion, and secure initial graft fixation in the cadaveric
model.
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