Our lates blog focuses on Dr. Matthew Provencher, one of America’s leading orthopaedic surgeons, specialising in the surgical treatment and rehabilitation of injuries to the knee and shoulder.
Dr. Provencher practices at The Steadman Clinic in Vail, Colorado, and conducts research as a Principal Investigator at the renowned Steadman Philippon Research Institute aimed at innovation and improvement in patient care in the field of orthopaedic sports medicine.
Shoulder instability with severe bone loss is particularly difficult to treat given that the bony foundation of the joint has been placed in jeopardy. In cases of severe bone loss, research has shown that soft tissue repair including arthroscopic stabilization surgery does not always reestablish shoulder stability. Instead, bone graft surgery has proven to be much more effective in these cases. A coracoid process graft, iliac crest autograft, and distal tibia allograft placed at the area of bone loss of the socket (glenoid bone) have been proven effective for treatment of severe bone loss.
Glenoid bone loss after a single dislocation has been found in up to 22 percent of patients and is a leading cause of arthroscopic instability repair failure. In order to determine the amount of the socket (glenoid bone) and bone loss of the ball (humeral head), Dr. Provencher uses traditional imaging including x-rays as well as the latest imaging technology to acquire a 3-D CT scan. The amount and characteristics of the patient’s bone loss will be assessed through this imaging in order to arrive at an individualized and proven treatment method.
Then, in order to provide his patients with the most individualized treatment plan, Dr. Provencher will also do a thorough physical examination of the injured shoulder aside from the acquired imaging. In general, arthroscopic techniques are commonly reserved for patients with bony defects of the shoulder joint, while open surgery techniques with application of a bone graft are reserved for cases of severe bone loss.
Shoulder Bipolar Bone Loss: Dual Bone Allograft Technique
Anatomic Humeral Head Reconstruction with Fresh Osteochondral Talus Allograft for Recurrent Gelnohumeral Instability with Reverse Hill-Sachs Lesion
Combined Reverse Hill Sachs and Posterior HAGL Lesions: Treatment with Fresh Talus Osteochondral Allograft and Arthroscopic Posterior HAGL and Labrum Repair
Use of Cutting Instruments for Fresh Osteochanodral Distal Tibia Allograft Preparation: Treatment of Gelnoid Bone Loss
Founded in 1994, AlloSource is a nonprofit leader in maximizing tissue donation to help surgeons heal their patients.
As the world’s leading manufacturer of fresh cartilage tissue used for joint repair and skin allografts to heal severe burns, AlloSource has grown into one of the largest tissue networks in the country with more than 450 employees. With over 200 types of precise bone, skin, soft-tissue and custom-machined allografts, the organization offers products for an array of life-saving and life-enhancing medical procedures. We deliver unparalleled expertise and customer service to our growing network of surgeons, partners and the country’s most reputable Organ Procurement Organizations.
Leading the way in cellular and tissue therapies.
Inspired by the gift of donation from our communities, AlloSource responsibly provides innovative cellular and tissue allografts to advance patient healing.
To find out more about Osteochondral allografting send us an email on firstname.lastname@example.org One of our joint preservation specialists would be more than happy to help!
We are looking forward to seeing you at BESS in Harrogate in June 2019, come and talk to us about these options. You can find out where else we are going to throughout the year here – Joint Operations on tour