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Table 4 A comparison of gleno-humeral re-stabilization mechanisms of the currently reported technique versus its counterpart of osteo-chondral allograft

From: Chronic locked posterior gleno-humeral dislocation: technical note on fibular grafting for restoration of humeral head sphericity

Mechanism

Reported technique

Osteo-chondral allograft

Restoration of humeral head sphericity and smooth articular arc

 + 

 + 

Concurrent posterior capsulorrhaphy

 ± 

 ± 

Conversion of intra-articular residual reverse Hill-Sachs defect into an extra-articular one by lesser tuberosity (± SSC) trans-fixation into the defect

Might be needed following fibular grafting according to intra-operative assessment of geometry and engagement of the residual defect

Not needed as it fully reconstructs the defect

  1. SSC, Subscapularis