ReviewJournal of experimental orthopaedics2026
Remodelling and the fate of bone grafts in shoulder instability surgery.
Review in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Remodelling and the fate of bone grafts in shoulder instability surgery.Journal of experimental orthopaedics · 2026Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anterior glenoid bone loss is a critical factor in the surgical management of recurrent shoulder instability. In cases where bone loss exceeds the threshold for soft-tissue repair, bony augmentation is necessary to restore joint stability and prevent recurrence. However, there remains considerable debate regarding the optimal surgical technique and graft selection to maximise clinical outcomes and ensure long-term graft survival. The Latarjet procedure is widely performed and associated with high success rates. Nevertheless, it is not without limitations, particularly the potential for postoperative complications and inconsistent graft resorption rates. Distal tibial allograft (DTA) has emerged as a biomechanically favourable alternative. Its osteochondral surface offers a strong anatomical match for the glenoid and has shown promising clinical results. Despite its growing adoption, critical questions remain regarding long-term graft incorporation, structural remodelling, and recurrence rates. This review summarises the current evidence surrounding anterior glenoid bone augmentation techniques for shoulder instability, with a focus on graft selection, graft behaviour, and radiographic assessment. Special attention is given to the development and optimisation of DTA based on clinical outcomes and experience. Resorption patterns of the most common techniques and grafts employed, both auto- and allografts are discussed, and remodelling is defined. Understanding these remodelling patterns has practical implications for graft selection, fixation strategy, and postoperative management to optimise healing and long-term stability. Level of Evidence: Level V.
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Registered trials
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