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Purpose: To explore the technique for anatomical glenoid reconstruction using a fresh osteochondral distal tibia allograft after a failed Latarjet procedure. This bony augmentation technique employs a readily available dense, weight-bearing osseous tissue source that has excellent conformity, as well as the added benefit of a cartilaginous surface to correct chondral deficiencies.
Summary: The distal tibia allograft (DTA) has been used successfully in early efforts to treat anterior glenoid bone loss and instability. DTA has also been successfully applied in a posterior glenoid deficiency reconstruction.
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Anthony Sanchez, B.S., Marcio B. Ferrari, M.D., Ramesses A. Akamefula, Rachel M. Frank, M.D., George Sanchez, B.S., and Matthew T. Provencher, M.D. "Anatomical Glenoid Reconstruction Using Fresh Osteochondral Distal Tibia Allograft After Failed Latarjet Procedure". Arthroscopic Techniques. 2017 Apr; 6(2): e477–e482.