Bipolar fresh osteochondral allograft of the shoulder

Giannini, Sandro and Sebastiani, Elisa and Shehu, Alba and Baldassarri, Matteo and Maraldi, Susanna and Vannini, Francesca (2013) Bipolar fresh osteochondral allograft of the shoulder. Joints, 1 (4). pp. 150-154. ISSN 2282-4324

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Abstract

Purpose: to describe an original technique and preliminary results of bipolar fresh osteochondral allograft implantation for the treatment of end-stage glenohumeral osteoarthritis. Methods: three patients underwent bipolar fresh osteochondral allograft implantation to the shoulder. Clinical and radiographical evaluations were carried out periodically through to final follow-up. Results: constant Score increased from 38.3 ± 2.9 preoperatively to 78.7 ± 16.2 at 12 months, 72.3 ±15.3 at 24 months, and 59.3 ± 22.0 at 34 months. Arthritis and partial reabsorption of the implanted surfaces were evident radiographically. Conclusions: the clinical results obtained in these patients seem to support the applicability of bipolar fresh osteochondral allograft implantation in the shoulder in subjects with severe post-traumatic arthritis and intact rotator cuff. The development of arthritis of the implanted surfaces, while not impacting the clinical result, is a cause of concern. Level of evidence: level IV, therapeutic case series.

Item Type:	Article
Additional Information:	Allograft, arthritis, bipolar fresh osteochondral allograft, shoulder
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Chiara D'Arpa
Date Deposited:	01 Sep 2014 15:20
Last Modified:	01 Sep 2014 15:20
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8889

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