Distal Tibial Allograft Glenoid Reconstruction in Recurrent Anterior Shoulder Instability

Purpose: To evaluate the clinical and radiographic outcomes for patients treated with a distal tibia allograft for recurrent anterior shoulder instability.


  • 27 patients, all male, underwent a glenoid reconstruction with distal tibia allograft
  • At a mean follow-up of 45 months there were significant improvements in ASES, WOSI and SANE scores
  • Computed tomography demonstrated an allograft healing rate of 89% at an average of 1.4 years post-op, an average allograft angle of 14.9° and allograft lysis was 3%
  • Grafts with angles less than 15° showed superior healing and graft incorporation
  • There were no cases of recurrent instability

JRF Ortho Take Away: Fresh distal tibia allograft reconstruction results in a clinically stable joint with excellent outcomes in reducing the rate of dislocation and improving pain and function.

Click here for the abstract.

Authors: Matthew T. Provencher, Rachel M. Frank, Petar Golijanin, Daniel Gross, Brian J. Cole, Nikhil N. Verma, Anthony A. Romeo

Published: Arthroscopy

Institution: The Steadman Clinic and Rush University Medical Center

Level of Evidence: Level IV Case Series

Other Resources


Bipolar Osteochondral Allograft...

Purpose: To evaluate the outcomes of bipolar osteochondral allograft (OCA) transplantation in the patellofemoral...

Fresh Osteochondral Allograft...

The purpose of this study is to assess midterm clinical and radiographic outcomes after fresh osteochondral allograft...