Surgeon variation in glenoid bone reconstruction procedures for shoulder instability

Advances in the understanding and management of glenoid bone loss in shoulder instability have led to the development of alternative bony reconstruction techniques to the Latarjet using free bone grafts, but little is known about surgeon adoption of these procedures. This study sought to characteriz...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2023-01, Vol.32 (1), p.133-140
Main Authors: Menendez, Mariano E., Sudah, Suleiman Y., Denard, Patrick J., Abrams, Geoffrey D., Feeley, Brian T., Frank, Rachel M., Galvin, Joseph W., Garber, Alexander C., Crall, Timothy S., Crow, Scott, Gramstad, Gregory D., Cheung, Edward, Fine, Landon, Costouros, John G., Dobbs, Ryan, Garg, Rishi, Getelman, Mark H., Buerba, Rafael, Harmsen, Samuel, Mirzayan, Raffy, Pifer, Matthew, McElvany, Matthew, Ma, C. Benjamin, McGoldrick, Erik, Lynch, Joseph R., Jurek, Sara, Humphrey, C. Scott, Weinstein, David, Orvets, Nathan D., Solomon, Daniel J., Zhou, Liang, Saleh, Jason R., Hsu, Jason, Shah, Anup, Wei, Anthony, Choung, Edward, Shukla, Dave, Ryu, Richard K.N., Brown, Dawson S., Hatzidakis, Armodios M., Min, Kyong S., Fan, Robert, Guttmann, Dan, Rao, Anita G., Ding, David, Andres, Brett M., Cheah, Jonathan, Mierisch, Cay M., Hoellrich, Rudolf G., Lee, Brian, Tweet, Matthew, Provencher, Matthew T., Butler, J. Brad, Kraetzer, Bradford, Klug, Raymond A., Burns, Erica M., Schrumpf, Mark A., Savin, David, Sheu, Christopher, Magovern, Brian, Williams, Rafael, Sears, Benjamin W., Stone, Michael A., Nugent, Matthew, Gomez, Gregory V., Amini, Michael H.
Format: Article
Language:English
Subjects:
allograft
autograft
free bone block
glenoid bone loss
Humans
Joint Instability - surgery
Latarjet
reconstruction
Scapula - surgery
Shoulder
Shoulder Dislocation - surgery
shoulder instability
Shoulder Joint - surgery
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Summary:Advances in the understanding and management of glenoid bone loss in shoulder instability have led to the development of alternative bony reconstruction techniques to the Latarjet using free bone grafts, but little is known about surgeon adoption of these procedures. This study sought to characterize surgeon variation in the use of glenoid bone reconstruction procedures for shoulder instability and ascertain reasons underlying procedure choice. A 9-question survey was created and distributed to 160 shoulder surgeons members of the PacWest Shoulder and Elbow Society, of whom 65 (41%) responded. The survey asked questions regarding fellowship training, years in practice, surgical volume, preferred methods of glenoid bone reconstruction, and reasons underlying treatment choice. All surgeons completed a fellowship, with an equal number of sports medicine fellowship–trained (46%) and shoulder and elbow fellowship–trained (46%) physicians. The majority had been in practice for at least 6 years (6-10 years: 25%; >10 years: 59%). Most (78%) performed ≤10 glenoid bony reconstructions per year, and 66% indicated that bony procedures represented
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2022.09.001