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Title
Introduction
1. Diagnostic Arthroscopy
2. Transhumeral Sleeve Placement
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A. Align Drill using Transhumeral Guidepin
B. Drill through Proximal Humerus to Articular Surface
C. Insert Transhumeral Sleeve
3. Prepare the Humeral Head
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A. Insert Regtrograde Reamer through Anterior Portal and Attach Reamer Pin
B. Retrograde Ream Humeral Head
C. Remove Reamer from Pin and Inspect Area
4. Prepare the Glenoid Surface
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A. Insert Anterograde Reamer into Anterior Portal and Place Over Glenoid Defect
B. Ream Glenoid Surface
C. Remove Reamer and Inspect Area
5. Prepare the Allografts
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A. Cut and Size Humeral Graft from Donor Humerus
B. Cut and Size Glenoid Graft from Donor Distal Tibia
C. Attach Suture for Later Placement to Humeral Graft
6. Place the Glenoid Graft
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A. Insert Graft Havested from Tibia through Anterior Portal
B. Position Into Defect
C. Secure with Chondral Darts Placed through Transhumeral Sleeve
7. Place the Humeral Graft
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A. Thread Nitinol Wire Through Transhumeral Sleeve
B. Place Graft Suture Through Loop at End of Wire
C. Insert Graft through Anterior Portal and Manipulate Until Seated
Discussion
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1. The Need
2. Innovation
3. Benefits and Challenges
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Arthroscopic Total Shoulder Resurfacing with Osteochondral Allograft
Ruben Gobezie, MD
;
Samuel Dubrow, MD
University Hospitals of Cleveland, Case Medical Center
Tags:
Orthopaedics
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Authors
Ruben Gobezie, MD
Samuel Dubrow, MD
Filmed At:
University Hospitals of Cleveland, Case Medical Center
Article Information
Publication Date
2/28/2014
Article ID
1
Production ID
0001
Volume
2014
Issue
1
DOI
https://doi.org/10.24296/jomi/1