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Purpose: To share a novel graft transfer technique using distal tibia allograft as an available technique for the treatment of posterior shoulder instability with glenoid bone loss.
Summary: Posterior glenoid augmentation is a technically demanding procedure that requires strict surgical indication. Although both iliac crest and distal tibia allograft have been shown to restore glenohumeral contact pressures, the authors prefer distal tibia allograft because of its congruity to the articular surface, lack of graft harvest morbidity, and retained cartilaginous surface for articulation with the native humeral head in a patient cohort that is at risk for progressive osteoarthritic development.
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Stephen A. Parada, M.D. and K. Aaron Shaw, D.O.. "Graft Transfer Technique in Arthroscopic Posterior Glenoid Reconstruction with Distal Tibia Allograft". Arthroscopic Techniques. 2017 Oct; 6(5): e1891–e1895.