RESEARCH & ARTICLES

Fresh Osteochondral Allograft Transplantation for Treatment of Large Cartilage Defects of the Femoral Head

Fresh osteochondral allograft transplantation may be a viable treatment option for osteochondral defects of the femoral head in young, active patients with minimal preexisting joint deformity.

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Osteochondral Allograft Transplantation in the Knee

Studies looking at transplantation of fresh OCAs in the general population have shown reliable pain relief and return to activities of daily living.

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Fresh Osteochondral Patellar Allograft Resurfacing

Fresh Osteochondral Patellar Allograft Resurfacing

The aim of this study was to present a simple and reproducible way to perform a fresh osteochondral patellar allograft resurfacing procedure covering the indications, surgical technique, site preparation, graft preparation, and graft placement.

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

The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat large post-traumatic osteochondral defects of the proximal tibia in young active patients.

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Use of Fresh Osteochondral Allografts in the Patellofemoral Joint

With newer surgical approaches and a better understanding of the mechanical requirements of the PF joint, the use of OCA transplantation has shown increasingly better results.

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Is Patient Satisfaction Associated with Clinical Outcomes after OCA Transplantation?

Patient satisfaction was high following the OCA transplantation, with the rate remaining constant over time. We observed a strong association between patient satisfaction and measures of pain, function, activity level, and quality of life following OCA transplantation.

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Outcomes of Latarjet Versus Distal Tibia Allograft for Anterior Shoulder Instability Repair: A Matched Cohort Analysis

Outcomes of Latarjet Versus Distal Tibia Allograft for Anterior Shoulder Instability Repair: A Matched Cohort Analysis

Anterior glenoid reconstruction with fresh distal tibia allograft (DTA) has been described for management of recurrent shoulder instability, with encouraging early outcomes with similar clinical outcomes as the Latarjet procedure.

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Osteoarticular Allograft Transplantation of the Trochlear Groove for Trochlear Dysplasia

Osteoarticular Allograft Transplantation of the Trochlear Groove for Trochlear Dysplasia

Dr. LaPrade recently published a case report for transplanting a very large trochlear allograft in a 21 year old female patient with trochlea dysplasia. 

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Lesion Size Does Not Predict Outcomes in Fresh Osteochondral Allograft Transplantation

Many cartilage repair algorithms use lesion size to choose the appropriate surgical technique. The purpose of this study was to determine if lesion size affects outcomes after an osteochondral allograft (OCA) transplantation. The results of this study suggest that graft size does not influence outcomes or survivorship. OCA transplantation is an effective treatment in the femoral condyle regardless of size.

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Meniscal Allograft Transplantation: Effect of Cartilage Status on Survivorship & Clinical Outcome

To evaluate the survivorship and clinical outcomes of meniscal allograft transplantations (MAT) and determine the impact cartilage status may have on these outcomes. MAT has shown to be an effective surgical treatment with good survivorship and functional outcomes at medium to long term follow-up. Patients with lower grades of cartilage damage have better MAT survivorship but all patients benefit clinically.

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Outcomes of Latarjet Versus Distal Tibia Allograft for Anterior Shoulder Instability Repair

Outcomes of Latarjet Versus Distal Tibia Allograft for Anterior Shoulder Instability Repair

To compare clinical outcomes between a distal tibia allograft (DTA) reconstruction or a Latarjet procedure for patients with recurrent shoulder instability.

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Fresh Femoral Head Osteochondral Allograft Transplantation for Treating Osteochondritis Dissecans of the Femoral Head

The use of fresh-stored osteochondral allograft allows surgeons to both avoid donor-site morbidity and treat lesions of a larger surface area as a treatment options for the management of osteochondritis dissecans.

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Management of Glenoid Bone Loss with Anterior Shoulder Instability

There is good evidence for use of new techniques including the distal tibia allograft, which can be used as reconstruction options.

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Graft Transfer Technique in Arthroscopic Posterior Glenoid Reconstruction with Distal Tibia Allograft

Graft Transfer Technique in Arthroscopic Posterior Glenoid Reconstruction with Distal Tibia Allograft

Posterior glenoid augmentation is a technically demanding procedure that requires strict surgical indication. Although both iliac crest and distal tibia allograft have been shown to restore glenohumeral contact pressures, the authors prefer distal tibia allograft because of its congruity to the articular surface, lack of graft harvest morbidity, and retained cartilaginous surface for articulation with the native humeral head in a patient cohort that is at risk for progressive osteoarthritic development.

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Viable Osteochondral Allograft for the Treatment of a Full Thickness Cartilage Defect of the Patella

Osteochondral allografts are used to fill deeper bone defects where the thin osseous layer of cryopreserved OCA implants are not sufficient for these deeper lesions.

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Osteochondral Allograft Transplants for Large Trochlear Defects

The advantages of using the described OCA technique is that it allows chondral defects to be immediately filled with mature articular cartilage, it avoids the donor-site morbidity, and histologic analysis of OCA has shown high survivorship of the transplanted hyaline cartilage.

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Condyle-Specific Matching Does Not Improve Midterm Clinical Outcomes of OCA Transplantation

There was not a significant difference in clinical outcomes between the two groups suggesting that condyle-specific matching may not be necessary.

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Clinical Outcomes of Meniscal Allograft Transplantation With or Without Other Procedures

Overall, there seems to be no significant difference between the postoperative patient reported outcomes in terms of isolated MAT and combined MAT.

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How Should We Secure Our Transplanted Meniscus? A Meta-Analysis

To assess meniscal allograft transplantation (MAT) outcomes and compare the results of different root fixation techniques through systematic literature review. The significant overall improvements in function and pain scores accompanied by low allograft failure rates suggest that MAT is a reliable option. The current data does not demonstrate a difference in fixation method which may suggest that it does not have a significant influence on clinical outcome.

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Concomitant Reverse Hill-Sachs Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligament

Concomitant Reverse Hill-Sachs Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligament

Given the loss of integrity in the subchondral bone that occurs with other techniques as well as the persistent damage to the articular cartilage, many have begun to favor anatomic reconstruction with osteochondral allograft.

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