Variations in the Anatomic Morphology of the Lateral Distal Tibia: Surgical Implications for Distal Tibial Allograft Glenoid Reconstruction

The American Journal of Sports Medicine
Stephen A ParadaMatthew T Provencher

Abstract

Distal tibial allograft glenoid augmentation has been introduced as a viable treatment approach for glenoid bone loss in conjunction with shoulder instability. No previous study, however, has assessed the morphologic variation of the distal tibia at the incisura as it relates to graft dimensions for glenoid augmentation. Increased concavity at the lateral distal tibia necessitates removal of the lateral cortex to obtain a flat surface, which may have implications for the strength of surgical fixation. To assess the morphologic variation of the distal tibia at the incisura as it relates to graft dimensions for glenoid augmentation. Descriptive laboratory study. Magnetic resonance images of the ankle were reviewed for morphology assessment of the appearance and depth of the distal tibia. A classification system was created reflecting the suitability for glenoid augmentation. Type A tibias contained a flat contour of the lateral tibia at the articular surface, indicative of an ideal graft. Type B tibias had slight concavity with a central depth <5 mm and were deemed acceptable grafts. Type C tibias had deep concavity with a central depth >5 mm and were deemed unacceptable. Statistical analysis was performed via univariate analyses...Continue Reading

References

Aug 1, 1996·Clinical Orthopaedics and Related Research·E D ArringtonN A Davino
Jun 11, 1998·Foot & Ankle International·N A EbraheimJ Rollins
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Hiroyuki SugayaAkihiro Tsuchiya
Jun 13, 2003·Foot & Ankle International·Hanifi YildirimErdem Gümüşburun
Jun 4, 2005·The American Journal of Sports Medicine·Andrew L ChenJoseph D Zuckerman
Mar 6, 2009·The American Journal of Sports Medicine·Nobuyuki YamamotoYilihamu Tuoheti
Apr 4, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Matthew T ProvencherAnthony A Romeo
Oct 16, 2009·Skeletal Radiology·Hossein ElgafyNabil A Ebraheim
Jan 23, 2013·Journal of Shoulder and Elbow Surgery·Daniel Grant SchwartzLaurent Lafosse
Jan 9, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M StruckT Smith
Apr 18, 2015·The American Journal of Sports Medicine·James S ShahaJohn M Tokish
Oct 2, 2015·Journal of Shoulder and Elbow Surgery·Daniel J GrossC D R Matthew T Provencher
Mar 17, 2016·Foot & Ankle International·Steven M CherneyMichael J Gardner
Oct 4, 2016·Sports Health·Brian WatermanJohn M Tokish
Dec 27, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Matthew T ProvencherAnthony A Romeo
Oct 19, 2017·Current Reviews in Musculoskeletal Medicine·Joseph W GalvinStephen A Parada
Oct 27, 2017·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen A ParadaJon J P Warner

❮ Previous
Next ❯

Citations

Apr 1, 2020·JBJS Reviews·Devin LemmexPascal Boileau

❮ Previous
Next ❯

Software Mentioned

IMPAX

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.