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Traditional Hill\u2010Sachs management procedures include remplissage, coracoid transfer and free bone block reconstruction, which all carry associated limitations, including non\u2010anatomic reconstruction, donor\u2010site morbidity, risk of resorption, and\/or glenohumeral contour mismatch, in addition to the risk of insufficient restoration of the glenoid track in the setting of a large off\u2010track Hill\u2010Sachs lesion. The fresh talus allograft free bone block has recently emerged as an excellent alternative source for a Hill\u2010Sachs lesion, given its close anthropometric match to the humeral head, robust articular cartilage, and variable graft sizing options. The purpose of this Technical Note is to describe a detailed, reproducible technique for the preparation of a fresh talus osteochondral allograft for reconstruction of a large off\u2010track Hill\u2010Sachs lesion.<\/jats:p>","DOI":"10.1002\/atn2.70057","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:50:31Z","timestamp":1779670231000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fresh Talus Allograft Preparation for the Treatment of a Large Off\u2010Track Hill\u2010Sachs Lesion"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2843-7327","authenticated-orcid":false,"given":"Michael J.","family":"Nocek","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute  Vail Colorado 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