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RESEARCH & ARTICLES

Management of Chondral Lesions of the Knee: Analysis of Trends and Short-Term Complications

Cartilage restoration is becoming an increasingly popular modality to address chondral defects. Minimal complication rates suggest that these procedures may be safely performed concomitantly with other interventions.

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Contralateral Lateral Femoral Condyle Allografts Provide an Acceptable Surface Match for OCD Lesions

To determine if contralateral grafts could be used for OCD lesions up to 20mm. This research contributes to the growing body of knowledge that using a lateral femoral condyle is an acceptable option. 

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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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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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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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Patellofemoral Osteochondral Allograft Transplantation

 To describe the indications, surgical technique and rehabilitation for using a fresh osteochondral allograft (OCA) in patellofemoral reconstruction.

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

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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Distal Tibial Allograft Glenoid Reconstruction in Recurrent Anterior Shoulder Instability

Fresh distal tibia allograft reconstruction results in a clinically stable joint with excellent outcomes in reducing the rate of dislocation and improving pain and function.

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Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy

Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy

To assess outcomes of patients who concomitantly underwent an osteochondral allograft (OCA) transplantation and osteotomy.

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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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Return to Sport and Recreational Activity After Osteochondral Allograft Transplantation in the Knee

This paper assesses osteochondral allograft (OCA) survivorship in an athletic patient population as well as determine the level of sport patients are able to return to post-operatively. OCA transplantation can be a successful solution for cartilage injuries in athletes as it allows the majority of patients to resume their highly active lifestyles.

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Long-term Survival Analysis of Meniscus Allograft Transplantation with Bone Fixation

Long-term Survival Analysis of Meniscus Allograft Transplantation with Bone Fixation

The purpose of this paper is to nvestigate the long-term survival rate of meniscal allograft transplantations (MAT) with bone fixation. MAT using a bone fixation technique demonstrated a high clinical survival rate over long-term follow-up.

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Osteochondral Allograft Transfer for Treatment of Osteochondral Lesions of the Talus

Despite the high incidence of reoperation and failure, carefully selected patients can experience substantially improved function as a result of fresh OCA transplantation in the talus.

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Fresh Osteochondral Allograft Transplantation for Fractures of the Knee

The purpose of this paper is to determine functional outcomes and osteochondral allograft (OCA) survivorship in patients that received an OCA transplantation as a salvage treatment for knee fracture. 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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Effectiveness of Lavage Techniques in Removing Immunogenic Elements from Osteochondral Allografts

The purpose of the paper is to compare the current standard saline lavage technique to a combination saline and high-pressure carbon dioxide lavage to determine their ability to remove marrow elements from osteochondral allografts (OCA).

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Osteochondral Allograft Transplantation of the Knee: Analysis of Failures at 5 Years

Osteochondral Allograft Transplantation of the Knee: Analysis of Failures at 5 Years

Despite a relatively high reoperation rate, the overall allograft survival rate suggests that reoperation itself does not necessarily indicate a failure.

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Fresh Osteochondral Allograft (Humeral Head) for Treatment of an Engaging Reverse Hill-Sachs Lesion

A case involving a 24-yr-old pt treated with osteochondral allograft to the humeral head (from JRF Ortho) for an engaging reverse Hill-Sachs lesion reported  at 6 wks’ f/up that the wound had healed and at 20 wks the pt had normal ROM. Patient-reported measures of shoulder function and quality of life improved by 6 mos and remained durably improved through 32 mos. 

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Fresh osteochondral allograft transplantation for osteochondritis dissecans of the capitellum

Osteochondritis dissecans (OCD) of the capitellum is a rare yet debilitating injury seen in young athletes. This is the first report in the literature describing fresh osteochondral allograft transplantation (FOCAT) to treat OCD of the capitellum.

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