Fig 9.

Intraoperative image showing the humeral head of a right shoulder following exposure via a deltopectoral approach. After preparing the defect bed on the humeral head, the defect is measured (A) prior to preparing the talus bone graft (B). When preparing the bone graft, the area with the appropriate curvature is marked to the correct dimensions. Then, an oscillating saw is used to complete the cuts and harvest the bone graft. The harvested bone graft is irrigated with normal saline to remove debris. Following this, the graft is soaked in platelet-rich plasma to stimulate integration into the humeral head and maximize healing.