Advantages |
Restoration of GH smooth articulating surfaces and articular congruity Graft availability Technical simplicity, familiarity, quickness, safety and reproducibility Feasible concurrent procedures (e.g. posterior capsulorrhaphy, McLaughlin’s/Hawkins’s procedures) In situ enhancement of local biology for graft incorporation Cost-saving (regular screws) Bone-preserving procedures; no interference with future arthroplasty Avoidance of osteo-chondral allograft-related drawbacks (e.g. disease transmission, unavailability of tissue banking, non-union, bone marrow elements and biomechanical properties) No marked loss of GH range of motion (i.e. external rotation) Relatively easy revision |
Limitations |
Non-anatomic reconstruction of GH articulating surfaces Technical irreproducibility in extensive defects Incomplete reconstruction of reverse Hill-Sachs defect Possible need of concurrent McLaughlin’s/Hawkins’s procedures Donor site morbidity No biomechanical validation No long-term cohort clinical studies |