AANA19 Shoulder Access Pass-Bone Loss_ Allografts are the Way to Go! - Featured Lecture-Dr. Anthony Miniaci, M.D.

Bone Loss_ Allografts are the Way to Go! - Featured Lecture-Dr. Anthony Miniaci, M.D.

Video Transcription

Video Summary

The speaker discusses shoulder instability, emphasizing the significance of bone defects on the glenoid and humeral head in surgical success. Citing research, they highlight thresholds for defects causing instability and the combined impact of smaller defects. Treatment options include procedures like Latarjet, which restores glenoid stability but has limitations and possible complications. The speaker advocates for allografts, such as distal tibial or femoral grafts, offering anatomical reconstruction with fewer complications and reproducible techniques. Addressing Hill-Sachs lesions is crucial to prevent recurrence. Overall, allografts on both sides improve function with low recurrence, though graft healing remains a focus for improvement.

Keywords

shoulder instability

bone defects

Latarjet procedure

allografts

Hill-Sachs lesions