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RESEARCH & ARTICLES

Failures of Realignment Osteotomy

Failures of Realignment Osteotomy

Realignment osteotomies about the knee, consisting of proximal tibial and distal femoral osteotomies, are excellent methods for addressing mechanical axis deviation in the setting of unicompartmental knee osteoarthritis, ligament insufficiency, meniscus deficiency, and/or focal cartilage defects. 

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Failure of Meniscus Allograft Transplantation

In a select population of young patients with functional loss of the meniscus or prior (sub-) total meniscectomy, and without severe osteoarthritis, meniscal allograft transplantation (MAT) may be indicated. MAT has emerged as a viable technique to decrease pain and preserve knee function. While some symptomatic patients undergo debridement only of the failed transplant or arthroplasty when indicated, in select otherwise healthy patients who experienced substantial clinical benefit from their primary MAT, revision meniscus allograft transplantation (RMAT) may be considered.

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Osteochondral Grafts Failures

Osteochondral graft failure, whether an autograft or allograft, can be a challenging condition for treatment, with revision surgeries showing inferior outcomes. A well performed preoperative evaluation, a complete treatment plan and a well-executed surgery are key components for a successful outcome.

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Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms

Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms

The key to success is recognizing a failure and then identifying the root cause to find a solution for an alternative treatment strategy.

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Articular Comorbidities in Revision Cartilage Surgery: Meniscal Allograft Transplantation and Realignment

This paper explores the different techniques that are available to surgeons to treat defects both in isolation and conomitant procedures. 

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Defining Failure After Cartilage Preservation Surgery: Are We Expecting Too Much?

This paper has a very interesting take on what defines 'failure' and whether steps can be taken to better define the term.

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The Cost-Effectiveness Of Osteochondral Allograft Transplantation In The Knee

The Cost-Effectiveness Of Osteochondral Allograft Transplantation In The Knee

Osteochondral graft transplantations and revisions are both highly cost-effective operative options.

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Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

The talus allograft is a potential allograft for Hill-Sachs and reverse Hill-Sachs lesion reconstruction due to the superior articular surface of the talus. Read more

Computer Modeling Analysis of the Talar Dome as a Graft for the Humeral Head

This paper talks about the degree of surface congruency between the talar dome and humeral head. Read more

Fresh Osteochondral and Meniscus Allografting for Post-Traumatic Tibial Plateau Defects

Fresh Osteochondral and Meniscus Allografting for Post-Traumatic Tibial Plateau Defects

Osteochondral tibial plateau transplantation is one of the few reliable treatment alternatives for large post-traumatic osteochondral defects in young patients other than total and partial knee arthroplasties. Read more

Tibial Plateau Cartilage Lesions: A Systematic Review of Techniques, Outcomes, and Complications

This article talks about current reported treatment options for isolated tibial plateau. Read more

Does Irradiation Affect the Clinical Outcome of Patellar Tendon Allograft ACL Reconstruction?

Does Irradiation Affect the Clinical Outcome of Patellar Tendon Allograft ACL Reconstruction?

Patients undergoing ACL reconstruction with irradiated allograft BPTB had similar clinical outcomes compared to those reconstructed with autograft BPTB; thereby, suggesting that irradiation can be used to sterilize BPTB allograft without adversely affecting clinical outcome.

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Revision Risk After Allograft Anterior Cruciate Ligament Reconstruction

In the largest known study of its kind examining outcome after primary allograft ACLR, graft irradiation greater than 1.8 Mrad, BioCleanse graft processing, younger patient age, male patients, and BPTB allograft were all associated with a higher risk of clinical failure and subsequent revision surgery.

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Anterior Cruciate Ligament Revision with Achilles Tendon Allograft In Young Athletes

The ACL revision with a double-bundle technique using Achilles tendon allograft was successful in 81% of athletes at six years mean follow-up. Read more

Allograft Tendons Are A Safe and Effective Option For Revision ACL Reconstruction: A Clinical Review

Allograft Tendons Are A Safe and Effective Option For Revision ACL Reconstruction: A Clinical Review

In the light of current data, allograft tissue can be considered a suitable option for revision ACL reconstruction Read more

Pain Evaluation After All-Inside Anterior Cruciate Ligament Reconstruction and Short-Term Functional Results Of A Prospective Randomized Study

The all-inside technique is a reliable procedure with very good results for pain, stability and knee function. Read more

Randomized Controlled Trial Comparing All-Inside Anterior Cruciate Ligament Reconstruction Technique with Anterior Cruciate Ligament Reconstruction with A Full Tibial Tunnel

All-inside ACL reconstruction results in a lower VAS pain score compared with baseline Read more

Osteochondral Allograft Transplantation of the Femoral Condyle Utilizing a Thin Plug Graft Technique

Osteochondral Allograft Transplantation of the Femoral Condyle Utilizing a Thin Plug Graft Technique

OCA transplantation with a thin plug graft technique is a valuable procedure for the treatment of femoral condyle osteochondral lesions, resulting in significant improvement in clinical scores, high patient satisfaction, and low reoperation and clinical failure rates. Click here to read the abstract or to access the full paper. Read more

Differences in the Radius of Curvature Between Femoral Condyles: Implications for Osteochondral Allograft Matching

Matching the radius of curvature or anterior-posterior length would not be necessary for potential medial-to-medial or lateral-to-lateral allograft transplants within this patient group. Implantation of Lateral Femoral Condyle donor allograft into an MFC defect is also supported by these findings. Read more

Fresh Osteochondral Allograft Transplantation for Uncontained, Elongated Osteochondritis Dissecans Lesions of the Medial Femoral Condyle

This article describes the preferred surgical approach for the treatment of large, uncontained OCD lesions of the medial femoral condyle using a fresh OCA and the Arthrex BioUni Instrumentation System. Read more