ARTICLE IN PRESS econstruction of the glenohumeral joint using a lateral eniscal allograft to the glenoid and osteoarticular humeral ead allograft after bipolar chondrolysis

i f l p j s t hondrolysis of the glenohumeral joint has been reorted to occur after the use of thermal energy, bioaborbable intraarticular implants, intraarticular infusion of upivacaine, and intraarticular injection of gentian vioet dye, as well as after otherwise uncomplicated cases f shoulder arthroscopy during which no such etiologic actors can be identified. Chondrolysis can esult in devastating loss of cartilage, producing signifiant pain and functional impairment. Treatment can be hallenging, because patients are often young and othrwise healthy and place high functional demands on heir shoulders. Nonoperative therapy is often inadequate given the igh functional demands. Arthroscopic débridement ay provide temporary relief, but having no restorative roperties, is not likely to be a durable treatment option. eparative and restorative treatment options such as icrofracture and autologous chondrocyte implantation ay prove successful in the context of focal chondral esions but are unlikely to be viable strategies for the iffuse cartilage loss associated with chondrolyis. Total joint arthroplasty with traditional bearing urfaces may not be an attractive option in a young opulation because of concerns about functional limitaion, prosthetic loosening, destruction of glenohumeral one stock, and difficulty of revision surgery. In young, active patients who have failed nonoperaive and arthroscopic modalities, a biologic joint resuracing procedure may offer a salvage option that is referable to traditional total shoulder arthroplasty. We resent a case of bipolar glenohumeral chondrolysis fter arthroscopic thermal capsulorrhaphy treated with a umeral head osteochondral allograft and interposiional lateral meniscal allograft to the glenoid.