Harkin William E, McCormick Johnathon R, Trenhaile Scott W
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
OrthoIllinois, Rockford, Illinois, U.S.A.
Arthrosc Tech. 2024 Sep 24;14(3):103255. doi: 10.1016/j.eats.2024.103255. eCollection 2025 Mar.
The presence of a Hill-Sachs lesion is a known risk factor for recurrent shoulder instability. Many procedures have been described for the treatment of off-track Hill-Sachs lesions; however, each of these techniques is fraught with potential disadvantages and complications. In this Technical Note and accompanying video, we describe our technique for arthroscopic treatment of a Hill-Sachs lesion with talus osteochondral allograft. This technique recreates native humeral head anatomy with a highly congruent graft without altering the biomechanics of the glenohumeral joint.
Hill-Sachs损伤的存在是复发性肩关节不稳定的已知风险因素。已经描述了许多治疗偏离轨道的Hill-Sachs损伤的手术方法;然而,这些技术中的每一种都存在潜在的缺点和并发症。在本技术说明及随附视频中,我们描述了使用距骨骨软骨同种异体移植进行关节镜治疗Hill-Sachs损伤的技术。该技术通过高度匹配的移植物重建了肱骨头的自然解剖结构,而不会改变盂肱关节的生物力学。