Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis

ABSTRACT The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when co...

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Main Authors: Alberto Naoki Miyazaki, Luciana Andrade Silva, Guilherme do Val Sella, Caio Santos Checchia, Marcos Cazer Simionato, Sergio Luiz Checchia
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda.
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100113&lng=en&tlng=en
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author Alberto Naoki Miyazaki
Luciana Andrade Silva
Guilherme do Val Sella
Caio Santos Checchia
Marcos Cazer Simionato
Sergio Luiz Checchia
author_facet Alberto Naoki Miyazaki
Luciana Andrade Silva
Guilherme do Val Sella
Caio Santos Checchia
Marcos Cazer Simionato
Sergio Luiz Checchia
author_sort Alberto Naoki Miyazaki
collection DOAJ
description ABSTRACT The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen autogenous allograft with previously-molded articular cartilage from the humeral head, after cleansing the osteonecrotic focus. Five patients under 50 years of age were treated, with three very satisfactory results, one patient was lost to follow-up, and one patient had an unsatisfactory result (converted to hemiarthroplasty). The study describes the technique in detail and the three cases with a longer follow-up time.
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spelling doaj.art-01131ef5e3ec45a1a393ab7307fd40962024-03-03T08:38:38ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437853111311710.1016/j.rboe.2017.11.011S0102-36162018000100113Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosisAlberto Naoki MiyazakiLuciana Andrade SilvaGuilherme do Val SellaCaio Santos ChecchiaMarcos Cazer SimionatoSergio Luiz ChecchiaABSTRACT The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen autogenous allograft with previously-molded articular cartilage from the humeral head, after cleansing the osteonecrotic focus. Five patients under 50 years of age were treated, with three very satisfactory results, one patient was lost to follow-up, and one patient had an unsatisfactory result (converted to hemiarthroplasty). The study describes the technique in detail and the three cases with a longer follow-up time.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100113&lng=en&tlng=enOsteonecrose/cirurgiaTransplante ósseoSobrevivência de enxerto
spellingShingle Alberto Naoki Miyazaki
Luciana Andrade Silva
Guilherme do Val Sella
Caio Santos Checchia
Marcos Cazer Simionato
Sergio Luiz Checchia
Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
Revista Brasileira de Ortopedia
Osteonecrose/cirurgia
Transplante ósseo
Sobrevivência de enxerto
title Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
title_full Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
title_fullStr Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
title_full_unstemmed Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
title_short Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
title_sort articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis
topic Osteonecrose/cirurgia
Transplante ósseo
Sobrevivência de enxerto
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100113&lng=en&tlng=en
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