Bipolar fresh osteochondral allograft of the shoulder

Sandro Giannini, Elisa Sebastiani, Alba Shehu, Matteo Baldassarri, Susanna Maraldi, Francesca Vannini

Research output: Contribution to journalArticle

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 III, retrospective cohort study.

Original languageEnglish
Pages (from-to)150-154
Number of pages5
JournalJoints
Volume1
Issue number4
DOIs
Publication statusPublished - Oct 1 2013

Keywords

  • Allograft
  • Arthritis
  • Bipolar fresh osteochondral allograft
  • Shoulder

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Rehabilitation
  • Surgery

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  • Cite this

    Giannini, S., Sebastiani, E., Shehu, A., Baldassarri, M., Maraldi, S., & Vannini, F. (2013). Bipolar fresh osteochondral allograft of the shoulder. Joints, 1(4), 150-154. https://doi.org/10.11138/jts/2013.1.4.150