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Table 5 Advantages and disadvantages of the currently reported technique

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

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

  1. GH, Gleno-humeral