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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-10-2012 | Shoulder

Bipolar fresh osteochondral allograft for the treatment of glenohumeral post-traumatic arthritis

Authors: Sandro Giannini, Roberto Buda, Marco Cavallo, Alberto Ruffilli, Brunella Grigolo, Pier Maria Fornasari, Francesca Vannini

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2012

Abstract

Purpose

Surgical management of end-stage glenohumeral osteoarthritis represents a challenge in young patients. Bipolar fresh osteochondral allograft (BFOA) represents a fascinating option to prosthetic substitution. Aim of this report is to describe an original technique for BFOA implantation in the shoulder and to describe the clinical and histological results at 30-month follow-up.

Methods

A 47-year-old man received BFOA of the shoulder. Clinical and radiographical evaluations were carried out periodically up to 30 months.

Results

The clinical score increased from 40 to 78 points (Constant Score), decreased from 64 points to 10 (DASH Disability/Symptom Score) and from 94 points to 0 (DASH Work module Score). Radiographically arthritis and partial reabsorption of the implanted surfaces were evident.

Conclusions

The clinical result obtained in this patient seems to support the applicability of BFOA in the shoulder with severe post-traumatic arthritis and with intact rotator cuff. Although unrelated to the clinical result, the occurrence of arthritis of the implanted surfaces is cause of concern.

Level of evidence

Case report, Level V.

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Title: Bipolar fresh osteochondral allograft for the treatment of glenohumeral post-traumatic arthritis
Authors: Sandro Giannini
Roberto Buda
Marco Cavallo
Alberto Ruffilli
Brunella Grigolo
Pier Maria Fornasari
Francesca Vannini
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1793-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bipolar fresh osteochondral allograft for the treatment of glenohumeral post-traumatic arthritis

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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