AANA19 Shoulder Access Pass-Donnybrook_ Need Allograft Resurfacing-Dr. William T. Pennington, M.D.

Donnybrook_ Need Allograft Resurfacing-Dr. William T. Pennington, M.D.

Video Transcription

Video Summary

The speaker advocates for allograft joint resurfacing in young, active patients with glenohumeral arthritis as an alternative to traditional shoulder arthroplasty. Highlighting biologic resurfacing of both humeral and glenoid sides, they emphasize minimal invasion, preservation of anatomy, and fewer complications. Early techniques using lateral meniscal allografts evolved to osteoarticular humeral head and proximal tibial grafts, though tibial graft fixation was challenging. Dermal allografts are favored for uniform glenoid resurfacing, sometimes combined with superior capsule reconstruction. The approach offers durable outcomes, preserves future surgical options, and may be preferable to reverse arthroplasty in select patients under 52.

Keywords

allograft joint resurfacing

glenohumeral arthritis

biologic resurfacing

dermal allografts

shoulder arthroplasty alternatives