Martin Kelsey, Hughes Isaiah, Tornberg Haley, Patel Deep, Johnsen Parker, Kleiner Matthew T, Fedorka Catherine J
Department of Orthopedic Surgery, Jefferson Health New Jersey, Stratford, New Jersey.
Cooper Medical School of Rowan University, Camden, New Jersey.
JBJS Case Connect. 2025 May 1;15(2). doi: e24.00504. eCollection 2025 Apr 1.
Hill-Sachs lesions and reverse Hill-Sachs lesions (HSLs) are common in patients with shoulder instability, and addressing these lesions effectively is crucial for patient outcomes. Our study investigates a novel technique using talus osteochondral allografts (TOA) for the treatment of these lesions. The TOA offers several advantages, including congruency to the humeral head, dense bone structure, and a reduced risk of contamination compared with other allografts.
We present 3 patients with large engaging Hill-Sachs lesions or reverse HSLs, who were treated using a TOA, highlighting its feasibility and positive clinical outcomes.