Scope Essentials 2024-Anterior Glenoid Reconstruction with Bone Block

Anterior Glenoid Reconstruction with Bone Block

Video Transcription

Video Summary

Dr. Steve Barada presents on anterior glenoid reconstruction using distal tibial allograft (DTA) for failed Latarjet procedures and significant glenoid bone loss. DTA is preferred in revisions due to intact articular cartilage, adjustable graft sizing, and less neurovascular disruption. The graft is harvested fresh, often without size or laterality matching, and prepared with pulse lavage and biological augmentation like PRP or iliac crest aspirate to enhance incorporation. The surgery involves a beach chair approach with a subscapularis split, precise graft fixation using screws and washers, and aims for anatomical contour restoration. Post-op CT helps assess graft incorporation.

Asset Caption

Stephen Parada, M.D.

Keywords

anterior glenoid reconstruction

distal tibial allograft

failed Latarjet procedure

glenoid bone loss

biological graft augmentation