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Demographic characteristics, operative reports, and clinical and functional outcomes were recorded. Outcomes included postoperative range of motion (ROM), recurrent instability, complications, and revision surgery. All patients underwent at least 1 year of follow\u2010up, except 2 patients who underwent revision surgery. Preoperative and postoperative ROM was compared using the 2\u2010tailed Student\n                      <jats:italic>t<\/jats:italic>\n                      test for paired samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten patients who underwent DTA augmentation for posterior instability were included, comprising 2 female and 8 male patients with an average age of 24 years (range, 17\u201035 years). Five patients had a prior sports\u2010related traumatic event, and 2 patients had a seizure disorder. Seven patients had undergone a prior stabilization procedure. The average reverse bony Bankart lesion was 26% of the glenoid diameter. Concomitant procedures included 4 capsular repairs, 2 labral repairs, 2 capsular plications, and 1 repair for humeral avulsion of the glenohumeral ligament. One patient reported recurrent instability after surgery. Two patients underwent revision surgery, with one removal of symptomatic hardware and one early revision owing to screw penetration into the glenoid. There was no significant difference in preoperative versus postoperative ROM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Posterior shoulder instability with significant bony deficiency can be managed using DTA\u00a0augmentation with good outcomes and a reasonable complication rate in these challenging cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2020.06.005","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T09:06:55Z","timestamp":1608109615000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Distal Tibial Allograft Augmentation for Posterior Shoulder Instability Associated With Glenoid Bony Deficiency: A Case Series"],"prefix":"10.1002","volume":"2","author":[{"given":"Ron","family":"Gilat","sequence":"first","affiliation":[{"name":"Midwest Orthopaedics at Rush University Medical Center Chicago Illinois U.S.A."},{"name":"Department of Orthopaedic Surgery Shamir Medical Center and Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric D.","family":"Haunschild","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Tauro","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aghogho","family":"Evuarherhe","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush 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