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Distal Tibial Allograft with Humeral Head Allograft
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
This video features Dr. Grant Garcia demonstrating a highly advanced, open-boundary procedure for treating severe bipolar shoulder bone loss by combining a Distal Tibial Allograft (DTA) for the socket alongside a Humeral Head Allograft for the arm bone.
Bipolar bone loss occurs when a patient suffers from significant bony defects on both sides of the joint: an anterior glenoid bone loss defect (Bankart bone loss) and a massive, deep, structural Hill-Sachs lesion on the humeral head. When the bone defects on both sides are large, standard soft-tissue repairs (like a Bankart repair and a Remplissage) are insufficient because the shoulder will continue to slip and "engage" over the edges of the bone gaps. By performing an all-allograft anatomical reconstruction, Dr. Garcia physically replaces the missing bone on both sides to restore the perfect, rounded geometry of the entire ball-and-socket mechanism.
