To evaluate outcomes at midterm follow-up between fresh precut cores versus hemi-condylar osteochondral allograft (OCAs) in the treatment of symptomatic osteochondral lesions.
Read more
OCA offers a number of advantages that make it ideal for large, uncontained defects, such as for treating capitellar OCD.
Read moreGraft 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 moreAs 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 moreA 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.
Read more Download PDFThe 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 PDFThe 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