Fresh Osteochondral Allograft Transplantation for Fractures of the Knee
Purpose: To determine functional outcomes and osteochondral allograft (OCA) survivorship in patients that received an OCA transplantation as a salvage treatment for knee fracture.
- Knee fracture patients are difficult to treat because of their potential for complications and further surgeries
- 39 patients received an OCA transplantation due to fractures in the tibial plateau (29), femoral condyle (6) and patella (4)
- 49% of patients had further surgery and 26% were considered OCA failures
- At 5 years, survivorship was 82.6%; at 10 years it was 69.6%
- Patients evaluated with a graft in situ at follow-up had significant improvement in pain and function
JRF Ortho Take Away: Although the reoperation rate is high, treating osteochondral lesions associated with knee fractures with an OCA can be a successful salvage treatment option.
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Authors: Guilherme C. Gracitelli, Luis Eduardo Passarelli Tirico, Julie C. McCauley, Pamela A. Pulido, William D. Bugbee
Institution: Scripps Clinic
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