Evidence map›Paper›PMID 36305761›Full record

ArticleThe American journal of sports medicine2022

Biomechanical Analysis of Posterior Open-Wedge Osteotomy and Glenoid Concavity Reconstruction Using an Implant-Free, J-Shaped Iliac Crest Bone Graft.

Lukas Ernstbrunner, Paul Borbas, Andrew M Ker, Florian B Imhoff, Elias Bachmann, Jess G Snedeker, Karl Wieser, Samy Bouaicha

Open access · hybridAbstract read
In one paragraph

Article in The American journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Arthroscopic posterior J-bone graft technique.JSES reviews, reports, and techniques · 2025
    Article
  4. Article
  5. Arthroscopic Posterior Glenoid Osteotomy.Arthroscopy techniques · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Lukas ErnstbrunnerDepartment of Orthopaedic Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Paul BorbasDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Andrew M KerDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Florian B ImhoffDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Elias BachmannDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Jess G SnedekerDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Karl WieserDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Samy BouaichaDepartment of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Universitätsklinik Balgrist · CHUniversity of Zurich · CHETH Zurich · CHThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosterior open-wedge osteotomy and glenoid reconstruction using a J-shaped iliac crest bone graft showed promising clinical results for the treatment of posterior instability with excessive glenoid retroversion and posteroinferior glenoid deficiency. PURPOSE: To evaluate the biomechanical performance of the posterior J-shaped graft to restore glenoid retroversion and posteroinferior deficiency in a cadaveric shoulder instability model. STUDY

designControlled laboratory study.

methodsA posterior glenoid open-wedge osteotomy was performed in 6 fresh-frozen shoulders, allowing the glenoid retroversion to be set at 0°, 10°, and 20°. At each of these 3 preset angles of glenoid retroversion, the following conditions were simulated: (1) intact joint, (2) posterior Bankart lesion, (3) 20% posteroinferior glenoid deficiency, and (4) posterior J-shaped graft (at 0° of retroversion). With the humerus in the Jerk position (60° of glenohumeral anteflexion, 60° of internal rotation), stability was evaluated by measuring posterior humeral head (HH) translation (in mm) and peak translational force (in N) to translate the HH over 25% of the glenoid width. Glenohumeral contact patterns were measured using pressure-sensitive sensors. Fixation of the posterior J-graft was analyzed by recording graft micromovements during 3000 cycles of 5-mm anteroposterior HH translations.

resultsReconstructing the glenoid with a posterior J-graft to 0° of retroversion significantly increased stability compared with a posterior Bankart lesion and posteroinferior glenoid deficiency in all 3 preset degrees of retroversion (

conclusionBiomechanical analysis of the posterior J-graft demonstrated reliable restoration of initial glenohumeral joint stability, normalization of contact patterns comparable with that of an intact shoulder joint with neutral retroversion, and secure initial graft fixation in the cadaveric model. CLINICAL RELEVANCE: This study confirms that the posterior J-graft can restore stability and glenohumeral loading conditions comparable with those of an intact shoulder.

Indexed as

Joint InstabilityShoulder JointHumansIliumbiomechanicsglenoid dysplasiaglenoid retroversionopen-wedge osteotomyposterior J-graftshoulder instability

Identifiers

PMID36305761
PMCPMC9729978
OpenAlexW4307497989

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.