CATEGORY osteochondral allograft
Osteochondral Grafts Failures
The preoperative plan for revision cases must always include an assessment of the mechanism of failure. It is usually determined by history and symptoms, physical examination, imaging (prior and post index procedure) and intraoperative findings during the index procedure (operation notes).
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Cartilage Surface Treatment: Factors Affecting Success and Failure Mechanisms
The key to success in the long term is admitting and recognizing the failures, identifying the root causes and then modifying revision treatment strategies to optimize outcomes.
Read moreDefining Failure After Cartilage Preservation Surgery: Are We Expecting Too Much
Failure has traditionally been defined in absolute terms but it does not take into account the patients’ expectations nor the fact it can delay arthroscopy.
Read moreReturn to Work Following High Tibial Osteotomy With Concomitant Osteochondral Allograft Transplantation
In patients with focal chondral deficiency and varus deformity, HTO þ OCA provides a high rate of RTW (96.2%) by 3.5 2.9 months postoperatively. However, patients with greater-intensity occupations may take longer to return to work than those with less physically demanding occupations.
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An Expert Consensus Statement on the Management of Large Chondral and Osteochondral Defects in the Patellofemoral Joint
This study established a strong expert consensus document relating to the functional anatomy, surgical indications, donor graft considerations for osteochondral allografts, surgical technical aspects, and rehabilitation concepts for the management of large chondral and osteochondral defects in the patellofemoral joint.
Read moreOsteochondral Allograft Implantation Using the Smith–Peterson Approach for Chondral Lesions (Femoral Head)
This paper presents a technique using a Smith–Peterson approach and osteochondral implantation of fresh femoral head allograft for surgical treatment of a femoral head chondral lesion.
Read moreArthroscopic Microfracture for Osteochondral Lesions of the Talus
Second-look arthroscopic results revealed that 36% of lesions were incompletely healed and had inferior quality of repair tissue compared with that of native cartilage at a mean of 3.6 years, although arthroscopic microfracture provided functional improvements.
Read moreContralateral 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.
Read more Download PDFUse of Allografts in Orthopaedic Surgery: Safety, Procurement, Storage, and Outcomes
The purpose of this review was to equip orthopaedic surgeons with the know-how required to treat their patients with these allografts.
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Extensive Recontouring of the Femoral Head with Osteochondral Allografting
This case reports an attempt to salvage the hip joint of a young patient with a posttraumatic growth disturbance of the femoral head using a fresh osteochondral allograft.
Read morePatellar OCA Transplantation Using Femoral Hemicondyle Allografts: MRI & Clinical Outcomes
Patellar OCA using femoral head allograft led to significant improvement in pain and patient-reported knee outcome scores.
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Predictors of Return to Athletic Activity Following Osteochondral Allograft Transplantation of the Knee
OCA Transplantation is a reliable procedure with high rates of return to athletic activity at 88%.
Read moreLong-term Results of Treating Large Posttraumatic Tibial Plateau Lesions with Fresh Osteochondral Allograft Transplantation
This paper discusses fresh osteochondral allograft transplantation as a viable option for posttraumatic tibial osteochondral defects determining that it is an excellent option that delayed the need for arthroplasty.
Read morePatellar Fresh Osteochondral Allograft Transplantation
This article focuses on the use of a single OCA plug to treat a focal unipolar defect of the patella.
Read moreGetting the Graft Thickness Right is Crucial for the Long-Term Success of an OCA
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 moreOsteochondral Allograft Transplantation Surgery for Osteochondral Lesions of the Talus in Athletes
This paper discusses osteochondral allograft transplantation as an option for the treatment of selected athletes with large osteochondral lesions of the talus. The results of this study may help active young patients and their surgeons to better understand outcomes and options in their shared decision-making process.
Read moreTibial Plateau Cartilage Lesions: A Systematic Review of Techniques, Outcomes, and Complications
This paper seeks to determine current reported treatment options for isolated tibial plateau cartilage lesions.
Read moreOsteochondral 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.
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Return to Sport and Sports-Specific Outcomes After Osteochondral Allograft Transplantation in the Knee
This systematic review of 13 studies suggests that OCA transplantation for cartilage defects allows most athletes to return to sport (range, 75%-82%).
Read moreClinical Outcomes after Revision of Autologous Chondrocyte Implantation to Osteochondral Allograft Transplantation for Large Chondral Defects: A Comparative Matched-Group Analysis
This study examines the clinical outcomes of Osteochondral Allograft (OCA) transplantation after failed autologous chondrocyte implantation (ACI) for large chondral defects of the knee, compared to a matched cohort undergoing primary OCA cartilage repair.
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