Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects
The utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conj...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | JSES Reviews, Reports, and Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639124001408 |
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| author | Adrik Z. Da Silva, BS Michael A. Moverman, MD Mitchell Yelton, BS Joshua Mizels, MD John C. Wheelwright, MD Christopher D. Joyce, MD Robert Z. Tashjian, MD |
| author_facet | Adrik Z. Da Silva, BS Michael A. Moverman, MD Mitchell Yelton, BS Joshua Mizels, MD John C. Wheelwright, MD Christopher D. Joyce, MD Robert Z. Tashjian, MD |
| author_sort | Adrik Z. Da Silva, BS |
| collection | DOAJ |
| description | The utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conjoint tendon often impair adequate visualization and access to perform an anatomic reconstruction during open free bone graft reconstruction and often requires violation of the subscapularis tendon to gain exposure. We present a surgical technique wherein we perform a coracoid osteotomy and subsequent repair to improve visualization when performing an open free glenoid bone graft in the setting when a patient has not undergone a prior coracoid transfer that does not require violation of the subscapularis tendon. This technique demonstrates excellent functional outcomes as well as radiographic healing of the coracoid osteotomy without pain or prominent hardware at the coracoid. |
| format | Article |
| id | doaj-art-6d7862ca8d474a62b06baf37ed8853dc |
| institution | Kabale University |
| issn | 2666-6391 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj-art-6d7862ca8d474a62b06baf37ed8853dc2025-01-06T04:09:04ZengElsevierJSES Reviews, Reports, and Techniques2666-63912025-02-01518691Coracoid osteotomy approach for open free bone grafting of anterior glenoid defectsAdrik Z. Da Silva, BS0Michael A. Moverman, MD1Mitchell Yelton, BS2Joshua Mizels, MD3John C. Wheelwright, MD4Christopher D. Joyce, MD5Robert Z. Tashjian, MD6Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA; Corresponding author: Adrik Z. Da Silva, BS, Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT, USA.Department of Orthopaedics, University of Utah, Salt Lake City, UT, USASchool of Medicine, Michigan State University College of Human Medicine, Ann Arbor, MI, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USADepartment of orthopaedics, University of Iowa, Iowa City, IA, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USA; University of Utah, Salt Lake City, UT, USADepartment of Orthopaedics, University of Utah, Salt Lake City, UT, USAThe utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conjoint tendon often impair adequate visualization and access to perform an anatomic reconstruction during open free bone graft reconstruction and often requires violation of the subscapularis tendon to gain exposure. We present a surgical technique wherein we perform a coracoid osteotomy and subsequent repair to improve visualization when performing an open free glenoid bone graft in the setting when a patient has not undergone a prior coracoid transfer that does not require violation of the subscapularis tendon. This technique demonstrates excellent functional outcomes as well as radiographic healing of the coracoid osteotomy without pain or prominent hardware at the coracoid.http://www.sciencedirect.com/science/article/pii/S2666639124001408Distal tibia allograftShoulder instabilityLaterjetCoracoid osteotomyOsteotomySubscapularis split |
| spellingShingle | Adrik Z. Da Silva, BS Michael A. Moverman, MD Mitchell Yelton, BS Joshua Mizels, MD John C. Wheelwright, MD Christopher D. Joyce, MD Robert Z. Tashjian, MD Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects JSES Reviews, Reports, and Techniques Distal tibia allograft Shoulder instability Laterjet Coracoid osteotomy Osteotomy Subscapularis split |
| title | Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| title_full | Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| title_fullStr | Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| title_full_unstemmed | Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| title_short | Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| title_sort | coracoid osteotomy approach for open free bone grafting of anterior glenoid defects |
| topic | Distal tibia allograft Shoulder instability Laterjet Coracoid osteotomy Osteotomy Subscapularis split |
| url | http://www.sciencedirect.com/science/article/pii/S2666639124001408 |
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