Purpose: The purpose is to look into the use of a talus osteochondral allograft for a reverse Hill Sachs lesion.
Summary: Given the loss of integrity in the subchondral bone that occurs with other techniques as well as the persistent damage to the articular cartilage, many have begun to favor anatomic reconstruction with osteochondral allograft. The potential difficulty in using allograft tissue lies in the requirement for a matched donor to resemble the recipient's articular contour as well as prolonged wait times for recipients.
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Justin J. Mitchell, M.D., Alexander R. Vap, M.D., George Sanchez, B.S., Daniel J. Liechti, M.D., Jorge Chahla, M.D., Gilbert Moatshe, M.D., Márcio B. Ferrari, M.D., and Matthew T. Provencher, M.D. "Concomitant Reverse Hill-Sachs Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligament: Treatment With Fresh Talus Osteochondral Allograft and Arthroscopic Posterior Humeral Avulsion of the Glenohumeral Ligament and Labrum Repair". Arthroscopic Techniques. 2017 Aug; 6(4).