Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects

The utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conj...

Full description

Saved in:
Bibliographic Details
Published in:JSES reviews, reports, and techniques reports, and techniques, 2025-02, Vol.5 (1), p.86-91
Main Authors: Da Silva, Adrik Z., Moverman, Michael A., Yelton, Mitchell, Mizels, Joshua, Wheelwright, John C., Joyce, Christopher D., Tashjian, Robert Z.
Format: Article
Language:English
Subjects:
Coracoid osteotomy
Distal tibia allograft
Laterjet
Osteotomy
Shoulder instability
Subscapularis split
Techniques
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conjoint tendon often impair adequate visualization and access to perform an anatomic reconstruction during open free bone graft reconstruction and often requires violation of the subscapularis tendon to gain exposure. We present a surgical technique wherein we perform a coracoid osteotomy and subsequent repair to improve visualization when performing an open free glenoid bone graft in the setting when a patient has not undergone a prior coracoid transfer that does not require violation of the subscapularis tendon. This technique demonstrates excellent functional outcomes as well as radiographic healing of the coracoid osteotomy without pain or prominent hardware at the coracoid.
ISSN:2666-6391
2666-6391
DOI:10.1016/j.xrrt.2024.09.008