{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T16:56:56Z","timestamp":1785171416624,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,11,29]],"date-time":"2006-11-29T00:00:00Z","timestamp":1164758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2006,11,29]],"date-time":"2006-11-29T00:00:00Z","timestamp":1164758400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2006,11,29]],"date-time":"2006-11-29T00:00:00Z","timestamp":1164758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2006,11,29]],"date-time":"2006-11-29T00:00:00Z","timestamp":1164758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>During traumatic anterior shoulder dislocation, significant derangement of normal anatomy occurs. Open and arthroscopic techniques alike have emphasized anatomic reconstruction of anterior capsulolabral structures while often neglecting associated osteoarticular pathology. Recent studies have shown that failure rates after Bankart repair are dramatically higher in the presence of large glenohumeral bone defects, yet little has been written about how to best address these lesions. Historically, these patients will undergo multiple procedures culminating with nonanatomic solutions to constrain the humeral head (coracoid transfer or open capsular shift). Significant loss of motion yields unacceptable results in a high\u2010demand athletic population. We present a new approach to athletic, highly functional patients with recurrent anterior instability and large humeral head defects (Hill\u2010Sachs lesion). Anterior capsulolabral pathology is addressed arthroscopically, and the Hill\u2010Sachs lesion is then addressed via a limited posterior approach to the humeral head. Osteoarticular allograft transplantation is performed by use of a single plug to fill the defect. As described, this procedure can be performed in a single operative setting or as a staged procedure for those patients who still have subjective subluxation as a result of continued engagement of a large humeral head defect after Bankart repair. Importantly, our posterior approach does not require takedown of the anterior capsulolabral repair to address the bone defect. We have performed this procedure in a 19\u2010year\u2010old enlisted US Navy seaman, with excellent short\u2010term results. At 1\u2010year of follow\u2010up, he has returned to full active military duty without restriction.<\/jats:p>","DOI":"10.1016\/j.arthro.2006.07.032","type":"journal-article","created":{"date-parts":[[2006,11,28]],"date-time":"2006-11-28T10:30:53Z","timestamp":1164709853000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":116,"title":["Osteoarticular Allograft Transplantation for Large Humeral Head Defects in Glenohumeral Instability"],"prefix":"10.1002","volume":"23","author":[{"given":"Eric J.","family":"Kropf","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon K.","family":"Sekiya","sequence":"additional","affiliation":[{"name":"Center for Sports Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,11,29]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1148\/35.6.690"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466020-00001"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17715"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00004"},{"key":"e_1_2_2_6_1","first-page":"42","article-title":"Humeral head defects associated with shoulder dislocations\u2014Their diagnostic and surgical significance","volume":"21","author":"Connolly J.F.","year":"1972","journal-title":"Instr Course Lect"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466090-00019"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072080-00010"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.03.024"},{"issue":"1","key":"e_1_2_2_10_1","first-page":"19","article-title":"Recurrent anterior instability following failed surgical repair: Allograft reconstruction of large humeral head defects","volume":"83","author":"Miniaci A.","year":"2001","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bte.0000137216.70574.ba"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.04.005"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980630600911X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980630600911X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2006.07.032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2006.07.032","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2006.07.032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:01:47Z","timestamp":1773565307000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2006.07.032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11,29]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,3]]}},"alternative-id":["10.1016\/j.arthro.2006.07.032"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2006.07.032","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11,29]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Osteoarticular Allograft Transplantation for Large Humeral Head Defects in Glenohumeral Instability","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2006.07.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}