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.Read more
This paper has a very interesting take on what defines 'failure' and whether steps can be taken to better define the term.Read more
Osteochondral graft transplantations and revisions are both highly cost-effective operative options.Read more
As OCA transplantation has emerged as a popular option for the treatment of cartilage defects, standard techniques for graft matching rely on pairing donor-recipient size. However, this can be mitigated by using OCA cores for small lesions. Read more
Graft integration is crucial for the long-term success of an OCA. This is one of several upcoming studies that seeks to determine how grafts can better incorporate into the patient’s bone.Read more
A 36-year-old patient reported persistent right knee crepitation and pain two years after falling directly onto their knee. Prior conservative management and arthroscopic chondroplasty was undergone without any resolution. Imaging and arthroscopy demonstrated a full-thickness cartilage defect in the lateral trochlea.
Three months post-operation, the patient has regained full range of motion. The pain and crepitation that they had been experiencing has also been resolved.
Please click on the PDF to read the entire case study.Read more Download PDF
The patient, who was 18 years old at the time of surgery, had a prior retroarticular decompression done about one year to 18 months prior. His cartilage was noted to be soft at that time. After his index surgery, he continued to have pain and mechanical symptoms. A follow up MRI showed a full thickness chondral defect as well as subchondral sclerosis.Read more Download PDF
The patient, a 43-year-old male, was experiencing an acute onset of knee pain when squatting. He reported discomfort and stiffness in the knee, which were exacerbated by stairs and walking downhill. He subsequently developed recurring effusions. The patient’s symptoms persisted despite extensive non-operative management.Read more Download PDF