Saturday, January 26, 2013

Biologic resurfacing with meniscal allograft

Biologic resurfacing of the glenoid with meniscal allograft: long-term results with minimum 2-year follow-up

The idea of resurfacing the arthritic glenoid with a cadaver meniscus along with a humeral hemiarthroplasty was thought to be a reasonable option for managing arthritis without using a plastic glenoid prosthesis. 

These authors report on 19 shoulders treated with meniscal allograft glenoid resurfacing and shoulder hemiarthroplasty at a minimum of two years after surgery.  Six of the patients required revision surgery. In the shoulders having revision surgery the grafts had been reabsorbed. 

While seemingly initially attractive, this procedure depends on the allograft healing to the underlying glenoid bone and on its maintaining its integrity under the severe loading conditions of the glenohumeral joint. 

We continue to offer the ream and run procedure to individuals with glenohumeral arthrits who wish to avoid the risk of glenoid component failure. 

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