ArticleArthroscopy techniques2025
Sandwich Reconstruction Technique for Severe Glenoid Bone Loss in Reverse Shoulder Arthroplasty Using Iliac Crest Autograft and Coracoid Transfer.
Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
This Technical Note describes a sandwich grafting technique that combines a posterior tricortical iliac crest autograft with an anterior vascularized coracoid graft, secured with a full wedge-augmented baseplate. The method enhances fixation by leveraging the mechanical stability of the iliac crest graft, the biological integration of the vascularized coracoid, and the stability provided by the wedge-augmented baseplate. The screws are positioned in 2 axes to optimize stability and promote graft incorporation. This dual-graft approach addresses the limitations of single-graft techniques and augmented baseplates by restoring native glenoid anatomy and improving implant stability. The technique is particularly suited for cases with severe anterior-posterior or global glenoid bone loss, as classified by the Walch B3, C, and D categories.
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