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than preferring non-anatomical techniques by using osteochondral allografts from fresh-frozen femoral heads. Especially in the case of larger defects of up to 50% and young patients with viable humeral bone reserve, fixation of the allografts in
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crest bone graft was incorporated successfully using double suture-button fixation. The distal clavicle is another potential source of autograft with the same advantages as the iliac crest, and it provides an osteochondral surface with less morbidity in
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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of a distal tibial osteochondral allograft respects all these biomechanical principles and has been shown to be a valid alternative in the absence of reliable autograft. 39 During posterior shoulder dislocation, reverse Bankart lesions are only
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medial collateral ligament). Not uncommonly there are traumatic injuries to the capitellum, either small osteochondral injuries or larger posterior impaction fractures. Posteromedial rotatory injuries: anteromedial coronoid fractures This injury
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osteochondral nonunion of the distal humerus . J Orthop Trauma 2006 ; 20 : 56 – 59 . 26. Beredjiklian PK Hotchkiss RN Athanasian EA Ramsey ML Katz MA . Recalcitrant nonunion of the distal humerus: treatment
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osteochondral injuries or loose bodies, are generally treated by arthroscopy prior to formal reconstruction of the ligament ( Fig. 5 ). 27 Fig. 5 Loose bodies and osteophytes are removed arthroscopically in a patient with chronic medial collateral
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ligamentous injuries. Associated fractures of the coronoid, olecranon, or distal humerus should be treated by open reduction and internal fixation. Osteochondral defects of the capitellum might need debridement when loose bodies are present. Large capitellar