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Glenoid Resurfacing With Use of a Lateral Meniscal Allograft

Johnson, David M.D.; Humphrey, Scott M.D.; Norris, Tom M.D.

Techniques in Orthopaedics: March 2007 - Volume 22 - Issue 1 - p 55-61
doi: 10.1097/01.bto.0000262013.42941.ad
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Glenoid loosening after total shoulder arthroplasty is a concern that has prompted the use of alternative resurfacing materials, especially in younger patients with glenohumeral arthritis. Meniscal allografts have been used by many shoulder surgeons recently as a biologic interposition graft. It is attached to the glenoid and functions as a spacer and resurfacing material. Used in conjunction with a standard metal prosthesis on the humeral side, it is an alternative type of glenohumeral arthroplasty. The indications, technique, and outcomes for glenoid resurfacing with use of a lateral meniscal allograft are presented here and discussed. Although it is an exciting concept, early results have been quite variable. We feel that the best material for biologic resurfacing of the glenoid and technique for implantation is currently unknown.

From the University of Connecticut, Eastern Orthopaedics and Sports Medicine, S. Windsor, Connecticut; Boise Shoulder Clinic, Boise, Indiana; and The Shoulder, Elbow, and Hand Clinic of San Francisco, San Francisco, CA.

Address correspondence and reprint requests to David Johnson, M.D., Eastern Orthopaedics and Sports Medicine, Suite 104, Tamarack Dr., Buckland Rd., S. Windsor, CT 06074. E-mail: drdj@eosm.net

© 2007 Lippincott Williams & Wilkins, Inc.