AI Article Synopsis
- The authors present a surgical technique for reconstructing the humeral head using frozen autogenous allograft to treat young patients with focal osteonecrosis.
- This method may serve as a viable alternative to hemiarthroplasty or total shoulder arthroplasty.
- Among five patients under 50 treated with this technique, three experienced positive outcomes, while one patient was lost to follow-up, and another required a conversion to hemiarthroplasty.
Article Abstract
The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen autogenous allograft with previously-molded articular cartilage from the humeral head, after cleansing the osteonecrotic focus. Five patients under 50 years of age were treated, with three very satisfactory results, one patient was lost to follow-up, and one patient had an unsatisfactory result (converted to hemiarthroplasty). The study describes the technique in detail and the three cases with a longer follow-up time.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771782 | PMC |
| http://dx.doi.org/10.1016/j.rboe.2017.11.011 | DOI Listing |
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