Abstract
Osteochondral allograft (OCA) transplantation is an increasingly available biologic treatment option for a range of intraarticular aetiologies. To our knowledge, no prior publication has documented the use of this technology to treat a lesion of the proximal humerus secondary to avascular necrosis (AVN). We describe our experience treating a 42-year-old female executive with idiopathic AVN of the proximal humerus with a fresh osteochondral allograft. Computed tomography (CT) at 3 months post-op showed full bony incorporation and a restored native joint contour. Over the initial 7 months post-operatively, she reported continued improvements in pain and function as measured by quick Disabilities of the Arm, Shoulder, and Hand (DASH) scores. She was discharged from physical therapy after 6 months, reporting no rest pain, full active and passive range of motion, and unrestricted occupational and recreational activity.
Original language | English (US) |
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Pages (from-to) | 387-391 |
Number of pages | 5 |
Journal | Journal of ISAKOS |
Volume | 8 |
Issue number | 5 |
DOIs | |
State | Published - Oct 2023 |
Keywords
- Avascular necrosis
- Osteochondral allograft
- Proximal humerus
- Shoulder
- Transplantation
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine