Reconstruction of bone segment of the glenoid at chronic recurrent anterior shoulder instability using porous titanium nickelide

Abstract

A method of the surgical treatment of posttraumatic recurrent shoulder instability with bony defects using porous NiTiis presented. We operated 5 patients using this method. Recurrences of dislocation after surgical treatment have not been recorded. The method is an alternative to Latarjet procedure and iliac crest bone grafting. We use computerized tomography data in the preoperative making of NiTi graft. The graft is sawed from billet having a cylindrical shape about 1 cm thick. Than by using the drill we form two screw holes. A prepared graft is subsequently installed in the area of the glenoid bone defect. The advantages of this method are accurate reconstruction of the bony defect, minimal risk of recurrences, absence of resorption, reduction of procedure time.

Keywords

• recurrent shoulder instability
• glenoid bone deficiency
• latarjet procedure
• surgical treatment