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RESEARCH & ARTICLES

CATEGORY osteochondral allograft

An Expert Consensus Statement on the Management of Large Chondral and Osteochondral Defects in the Patellofemoral Joint

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. 

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Osteochondral 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.

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Arthroscopic 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.

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Contralateral 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. 

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Use 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

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.

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Patellar 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%.

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Long-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.

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Patellar Fresh Osteochondral Allograft Transplantation

This article focuses on the use of a single OCA plug to treat a focal unipolar defect of the patella.

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Getting 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. 

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Osteochondral 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.

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Tibial 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.

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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.

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Return to Sport and Sports-Specific Outcomes After Osteochondral Allograft Transplantation in the Knee

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%).

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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.

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Bipolar Osteochondral Allograft Transplantation of the Patella and Trochlea

Bipolar Osteochondral Allograft Transplantation of the Patella and Trochlea

Bipolar osteochondral allograft transplantation of the patella and trochlea provide significant improvement in functional outcomes.

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

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.

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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.

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Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy

Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy

To assess outcomes of patients who concomitantly underwent an osteochondral allograft (OCA) transplantation and osteotomy.

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