Pre-loader

RESEARCH & ARTICLES

Failures of Realignment Osteotomy

Osteoarthritis (OA) of the knee is a disabling condition in young active patients. Although the etiology of knee OA is multifactorial, increased mechanical load as a result of limb malalignment has been clearly identified as a risk factor for the occurrence and progression of disease. 

Read more

Failure of Meniscus Allograft Transplantation

In select patients with an initial functional improvement following MAT prior to subsequent failure, RMAT may be indicated to alleviate pain and perhaps delay progression of osteoarthritis.

Read more

Osteochondral Grafts Failures

The preoperative plan for revision cases must always include an assessment of the mechanism of failure. It is usually determined by history and symptoms, physical examination, imaging (prior and post index procedure) and intraoperative findings during the index procedure (operation notes).

Read more

Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms

The key to success in the long term is admitting and recognizing the failures, identifying the root causes and then modifying revision treatment strategies to optimize outcomes.

Read more

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

Substantial evidence suggests that joint biomechanics can be optimized through the judicious use of realignment osteotomy or MAT, and creating an ideal environment is essential for effective and durable cartilage surgery.

Read more

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

Failure has traditionally been defined in absolute terms but it does not take into account the patients’ expectations nor the fact it can delay arthroscopy. 

Read more

Return to Sport and Sports-Specific Outcomes After Osteochondral Allograft Transplantation in the Knee: A Systematic Review of Studies With at Least 2 Years’ Mean Follow-Up

This systematic review of 13 studies suggests that OCA transplantation for cartilage defects allows most athletes to return to sport (range, 75%-82%).

Read more

Patellar Osteochondral Allograft Transplantation Using Femoral Hemicondyle Allografts: Magnetic Resonance and Clinical Outcomes

Patellar OCA using femoral head allograft led to significant improvement in pain and patient-reported knee outcome scores.

Read more

Predictors of Return to Athletic Activity Following Osteochondral Allograft Transplantation of the Knee

OCA Transplantation is a reliable procedure with high rates of return to athletic activity at 88%.

Read more

Outcomes After Anatomic Lateral Ankle Ligament Reconstruction Using Allograft Tendon for Chronic Ankle Instability: A Systematic Review and Meta-analysis

Anatomic lateral ankle ligament reconstruction procedure (using allografts) results in significant improvements in patient function and outcome scores, with low rates of recurrent instability.

Read more

Use of Allografts in Orthopaedic Surgery: Safety, Procurement, Storage, and Outcomes

The purpose of this review was to equip orthopaedic surgeons with the know-how required to treat their patients with these allografts.

Read more

Meniscal Allograft Transplantation: Indications, Techniques, Outcomes

This paper provides a great overview of meniscal allograft transplantation (MAT), specifically mentioning the use of fresh-frozen meniscal allografts. Regarding patient selection, graft preparation, and as techniques continue to develop, the authors expect MAT outcomes to improve much further. 

Read more

Editorial Commentary: Comparing Medial and Lateral Meniscal Root Tears Is Like Comparing Apples and Oranges

Purpose: To show that comparing medial and lateral meniscal root outcomes, surgeons are clearly comparing apples and oranges or, maybe better stated, comparing young athletes and older sedentary patients.

Read more

Return to Work Following High Tibial Osteotomy With Concomitant Osteochondral Allograft Transplantation

In patients with focal chondral deficiency and varus deformity, HTO þ OCA provides a high rate of RTW (96.2%) by 3.5 2.9 months postoperatively. However, patients with greater-intensity occupations may take longer to return to work than those with less physically demanding occupations.

Read more

Arthroscopic Microfracture for Osteochondral Lesions of the Talus

Second-look arthroscopic results revealed that 36% of lesions were incompletely healed and had inferior quality of repair tissue compared with that of native cartilage at a mean of 3.6 years, although arthroscopic microfracture provided functional improvements.

Read more

An Expert Consensus Statement on the Management of Large Chondral and Osteochondral Defects in the Patellofemoral Joint

This study established a strong expert consensus document relating to the functional anatomy, surgical indications, donor graft considerations for osteochondral allografts, surgical technical aspects, and rehabilitation concepts for the management of large chondral and osteochondral defects in the patellofemoral joint. 

Read more

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

The purpose is to show that the talus allograft is a potential allograft for treatment of an engaging reverse Hill-Sachs lesion.

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

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.

Read more

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.

Read more