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A Novel Surgical Technique for Glenoid Reconstruction in the Trauma Setting With a Distal Tibia Allograft: A Case
James Harrison1, Galen Sanderson, Colin V Crickard
1Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Virginia.
Case:
A 21-year-old woman presented with a chronic fracture dislocation of her left shoulder after striking a submerged tree during a watersport activity. She was initially treated at an outside hospital, where she underwent open reduction and internal fixation of her posterior scapula. She presented 8 weeks after index procedure with pain and severely decreased range of motion. Her comminuted and displaced fracture comprising 70% of the anterior superior glenoid was surgically reconstructed using a distal tibia allograft (DTA), resulting in a functional shoulder.
Conclusion:
A DTA is a feasible option to reconstruct the glenoid surface in fracture dislocations of the shoulder with a significant loss of the articular surface.
