Bone grafting of reverse Hill-Sachs defects

Bone grafting of reverse Hill-Sachs defect is the surgical restoration of the humeral head due to compromised shoulder stability from large defects, which in patients without significant glenoid bone loss who have good bone stock, preserved articular cartilage, and humeral head defect between 20% and 40%, with depth and width reach 8 and 10 mm.

Larger defects require surgical restoration of the articulating surface to prevent potential post-traumatic osteoarthritis and engaging of the reverse Hill-Sachs defect during shoulder movement.

Complications

• graft resorption