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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Thieme Revinter Publicações Ltda.
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Series: | Revista Brasileira de Ortopedia |
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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. |
first_indexed | 2024-03-07T16:39:00Z |
format | Article |
id | doaj.art-01131ef5e3ec45a1a393ab7307fd4096 |
institution | Directory Open Access Journal |
issn | 1982-4378 |
language | English |
last_indexed | 2024-03-07T16:39:00Z |
publisher | Thieme Revinter Publicações Ltda. |
record_format | Article |
series | Revista Brasileira de Ortopedia |
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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