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
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.
Read moreViable 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.
Read moreOsteochondral 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.
Read moreCondyle-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.
Read moreClinical 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.
Read moreHow 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
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.
Read moreFresh Osteochondral Allograft Transplantation for Focal Chondral Defect of Humerus Associated with Failed SLAP Repair
OCA transplantation of the humeral head has previously been described for the treatment of Hills-Sachs lesions associated with glenohumeral instability. Promising results have also been reported using this technique for humeral head articular cartilage defects.
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Tibial Allograft Transfer for Medial Tibial Plateau Resurfacing
This paper discusses the preparation and the implantation of the medial tibial plateau and medial meniscal allograft. The most important finding of this report is that tibial allograft transplant offers a viable solution in patients with large osteochondral defects in the setting of ligament injuries.
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Midterm and Long-term Results of Medial Versus Lateral Meniscal Allograft Transplantation: A Meta-analysis
Patients undergoing lateral meniscal allograft transplantation demonstrated greater pain relief and functional improvement than patients undergoing medial meniscal allograft transplantations.
Read moreDistal Tibia Allograft Glenoid Reconstruction in Recurrent Anterior Shoulder Instability
At an average follow-up of 45 months, fresh DTA reconstruction for recurrent anterior shoulder instability results in a clinically stable joint with excellent clinical outcomes and minimal graft resorption. Optimal allograft placement resulted in superior bony incorporation with the native glenoid.
Read moreDistal Tibia 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.
Read moreReturn 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.
Read moreAnatomical Glenoid Reconstruction Using Fresh Osteochondral Distal Tibia Allograft After Failed Latarjet Procedure
This paper explores the technique for anatomical glenoid reconstruction using a fresh osteochondral distal tibia allograft after a failed Latarjet procedure.
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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.
Read moreOsteochondral 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.
Read moreFresh 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.
Read moreEffectiveness 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).
Read moreAnatomic 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.
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