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RESEARCH & ARTICLES

CATEGORY osteochondral allograft

Osteochondral Grafts Failures

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.

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Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms

Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms

The key to success is recognizing a failure and then identifying the root cause to find a solution for an alternative treatment strategy.

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Articular Comorbidities in Revision Cartilage Surgery: Meniscal Allograft Transplantation and Realignment

This paper explores the different techniques that are available to surgeons to treat defects both in isolation and conomitant procedures. 

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Defining Failure After Cartilage Preservation Surgery: Are We Expecting Too Much?

This paper has a very interesting take on what defines 'failure' and whether steps can be taken to better define the term.

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The Cost-Effectiveness Of Osteochondral Allograft Transplantation In The Knee

The Cost-Effectiveness Of Osteochondral Allograft Transplantation In The Knee

Osteochondral graft transplantations and revisions are both highly cost-effective operative options.

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Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

The talus allograft is a potential allograft for Hill-Sachs and reverse Hill-Sachs lesion reconstruction due to the superior articular surface of the talus. Read more

Computer Modeling Analysis of the Talar Dome as a Graft for the Humeral Head

This paper talks about the degree of surface congruency between the talar dome and humeral head. Read more

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

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

Osteochondral tibial plateau transplantation is one of the few reliable treatment alternatives for large post-traumatic osteochondral defects in young patients other than total and partial knee arthroplasties. Read more

Tibial Plateau Cartilage Lesions: A Systematic Review of Techniques, Outcomes, and Complications

This article talks about current reported treatment options for isolated tibial plateau. Read more

Osteochondral Allograft Transplantation of the Femoral Condyle Utilizing a Thin Plug Graft Technique

Osteochondral Allograft Transplantation of the Femoral Condyle Utilizing a Thin Plug Graft Technique

OCA transplantation with a thin plug graft technique is a valuable procedure for the treatment of femoral condyle osteochondral lesions, resulting in significant improvement in clinical scores, high patient satisfaction, and low reoperation and clinical failure rates. Click here to read the abstract or to access the full paper. Read more

Differences in the Radius of Curvature Between Femoral Condyles: Implications for Osteochondral Allograft Matching

Matching the radius of curvature or anterior-posterior length would not be necessary for potential medial-to-medial or lateral-to-lateral allograft transplants within this patient group. Implantation of Lateral Femoral Condyle donor allograft into an MFC defect is also supported by these findings. Read more

Fresh Osteochondral Allograft Transplantation for Uncontained, Elongated Osteochondritis Dissecans Lesions of the Medial Femoral Condyle

This article describes the preferred surgical approach for the treatment of large, uncontained OCD lesions of the medial femoral condyle using a fresh OCA and the Arthrex BioUni Instrumentation System. Read more

Osteochondral Allograft Transplantation for Knee Lesions After Failure of Cartilage Repair Surgery

Osteochondral Allograft Transplantation for Knee Lesions After Failure of Cartilage Repair Surgery

OCA transplantation is a successful salvage surgical treatment after cartilage repair procedures. Read more

Fresh Precut Osteochondral Allograft Core Transplantation for the Treatment of Femoral Cartilage Defects

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

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. Read more

Glenoid Reconstruction with Distal Tibia Allograft for Recurrent Anterior Shoulder Instability

Glenoid Reconstruction with Distal Tibia Allograft for Recurrent Anterior Shoulder Instability

Using fresh distal tibia allograft has been reported as an anatomic, osteoarticular reconstructive option for restoring the glenoid arc and maintaining glenohumeral congruency. Read more

Anatomical Glenoid Reconstruction Using Fresh Osteochondral Distal Tibia Allograft After Failed Latarjet Procedure

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Management of Glenoid Bone Loss with Anterior Shoulder Instability: Indications and Outcomes

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

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. Read more

Comparison of Glenohumeral Contact Pressures and Contact Areas After Posterior Glenoid Reconstruction with an Iliac Crest Bone Graft or Distal Tibial Osteochondral Allograft

Reconstruction with fresh distal tibial allograft (DTA) is an alternative option, with the theoretical advantages of restoring the glenoid articular surface, improving joint congruity, and providing the biological restoration of articular cartilage loss. Read more