Explore How Surgeons Use Allografts In New and Innovative Ways
The increased availability to allografts allows use for indications where tissue transplant has been less commonly used. These innovations help surgeons meet patients' needs and improve their quality of life in ways never done before.
ALLOGRAFT:
Distal Tibia
Fresh Distal Tibial Allograft To The Glenoid
Ankle allograft tissue can be used for shoulder reconstructive procedures, such as the use of a fresh distal tibial allograft for reconstruction of glenoid bone defects. This has been done since 2008 with very promising clinical results demonstrating solid bone incorporation.
RELATED STUDY:
A Bio Perspective on Distal Tibia Osteochondral Allograft for Reconstruction of Glenoid Bone Defects
ALLOGRAFT:
Talus
Fresh Talus for Humeral Head Reconstruction
Fresh talus allografts can be utilized for large Hill-Sachs or Reverse Hill-Sachs defects. The reasons for using talar allograft for the humerus are: 1) the talus fits well for both typical Hill-Sachs and Reverse Hill-Sachs lesions; 2) the ready availability of talus grafts; and 3) no need for size matching.
RELATED STUDY:
Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs LesionALLOGRAFT:
Patella, Trochlea
Chondral Loss In The Patellofemoral Joint
Two unique options: 1) patients with dysplasia can undergo large OCA transplants with matched patella and trochlea grafts; 2) isolated focal defects can be successfully reconstructed. In dysplasia cases, the entire patella is resurfaced by cutting off the damaged articular portion from the patient and obtaining a fresh patellar graft. The trochlea is typically transplanted with a 35 mm osteochondral allograft from the donor screened to have a deep groove to address the trochlear dysplasia.
RELATED STUDY:
Bipolar Osteochondral Allograft Transplantation of the Patella and Trochlea