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Revista Brasileira de Ortopedia

versão impressa ISSN 0102-3616versão On-line ISSN 1982-4378

Resumo

MIYAZAKI, Alberto Naoki et al. Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis. Rev. bras. ortop. [online]. 2018, vol.53, n.1, pp.113-117. ISSN 0102-3616.  http://dx.doi.org/10.1016/j.rboe.2017.11.011.

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.

Palavras-chave : Osteonecrosis/surgery; Bone transplantation; Graft survival.

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