Reverse Hill-Sachs and Hill-Sachs Lesion Repair with Fresh Talus Osteochondral Allograft: A Series of 3 Patients.

CASE: Hill-Sachs lesions and reverse Hill-Sachs lesions (HSLs) are common in patients with shoulder instability, and addressing these lesions effectively is crucial for patient outcomes. Our study investigates a novel technique using talus osteochondral allografts (TOA) for the treatment of these lesions. The TOA offers several advantages, including congruency to the humeral head, dense bone structure, and a reduced risk of contamination compared with other allografts.

CONCLUSION

We present 3 patients with large engaging Hill-Sachs lesions or reverse HSLs, who were treated using a TOA, highlighting its feasibility and positive clinical outcomes.