Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis

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.

Bibliographic Details

Main Authors:	Miyazaki,Alberto Naoki, Silva,Luciana Andrade, Sella,Guilherme do Val, Checchia,Caio Santos, Simionato,Marcos Cazer, Checchia,Sergio Luiz
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Ortopedia e Traumatologia 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100113
Tags:	Add Tag No Tags, Be the first to tag this record!