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bone defects, a dysplastic glenoid rim, and a thin posterior capsule has increased the use of techniques with a bone graft ( 10 , 11 , 12 , 13 , 14 ). The use of opening wedge osteotomies and posterior bone block grafts, even in the absence of a
The University of Western Australia, Perth, Australia
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Clinique Victor Hugo, 5 Bis rue du Dôme 75016 Paris, France
American Hospital of Paris, 55 Boulevard du Château, 92200 Neuilly-sur-Seine, France
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Shoulder, Elbow Unit, Sportsclinicnumber1, Papiermuehlestrasse 73, 3014 Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
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Royal Perth Hospital, Perth, Australia
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remplissage; free bone block procedures and coracoid transfer surgery ( 13 , 14 ) with its most standardized technique, the Latarjet–Patte procedure modified by Walch ( 15 ). The purpose of this article is to review the current literature about risk
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represents a key factor in maintaining joint stability. Quantitative and qualitative bone loss analysis is therefore crucial in determining the pathogenesis of recurrent instability and choosing an effective treatment strategy (i.e. ‘bone-block’ surgery
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theory, a larger graft to be used since it uses the wider, inferior surface of the coracoid process for the reconstruction. As a result, it would be possible to reconstruct larger bone defects as well as provide a more significant bone-blocking effect
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glenoid neck, subscapularis release and arthrolysis and eventually a new subscapularis split and graft passage and fixation in the cases of bone block procedures. Bone grafting techniques Since Latarjet is aimed to increase the glenoid articular
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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tunnel for the tendon graft may be vertical or transverse depending on the technique employed. The use of reversed quadriceps tendon grafts with bone blocks ( 25 ) and contra-lateral central third bone-patellar tendon grafts ( 26 ) have also been reported
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School of Surgery, University of Western Australia, Perth, Australia
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instability with progressive osteonecrosis of the humeral head as it interacts with the bone block, and (B) irreducible static inferior subluxation of the humeral head; possibly caused by the pull on the less flexible portion of the subscapularis by the
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. 29 - 32 The Achilles allograft was first used with the a calcaneous bone block attached for bone-to-bone healing in the bicipital tuberosity. 33 Satisfactory subjective results were reported with full range of motion and an excellent Mayo
AO Research Institute Davos, Switzerland
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Department of Trauma Surgery, Trauma Center Murnau, Germany
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National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
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eight 4.0 mm cancellous screws into polyurethane bone blocks of 0.1 g/cm 3 . First, they were asked to insert eight screws to create ‘maximum construct stability’. Screws causing stripping were recorded, being 42% of all insertions for this component of
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patients . Open Journal of Orthopedics 2015 ; 5 : 25 - 33 . 10 Aksekili MA Uğurlu M Işık Ç . Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation
