RESEARCH & ARTICLES

CATEGORY osteochondral allograft

Osteochondral Autograft and Allograft for Knee Cartilage Injuries – An International Delphi Consensus Statement

To establish a consensus statement on osteochondral allografts (OCA) in the setting of cartilage defects in the knee.

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Survivorship After Lateral Meniscal Allograft Transplantation Plus Concurrent Cartilage Procedure in Patients with Poor Cartilage Status: A Comparative Study Purpose

This study finds that in patients with bipolar cartilage lesions, a concurrent cartilage procedure may improve the status of an allograft after lateral MAT.

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Medial femoral condyle width and osteochondritis dissecans: cause or effect and the implications for osteochondral allograft transplantation

Medial femoral condyle width and osteochondritis dissecans: cause or effect and the implications for osteochondral allograft transplantation

This study finds evidence that a wider MFC might be causal in the development of OCD.

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Osteochondral Allografts for Large Oval Defects of the Medial Femoral Condyle: A Comparison of Single Lateral Versus Medial Femoral Condyle Oval Grafts Versus 2 Overlapping Circular Grafts

The use of oblong ipsilateral MFC and contralateral LFC OCAs can provide a better surface contour match than overlapping circle grafts for oblong defects in the MFC.

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Osteochondral Allograft for Unsalvageable Osteochondritis Dissecans in the Skeletally Immature Knee

Ostechondral allografts treatment for unsalvageable OCD in the young knee may be expected to yield excellent early results

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Outcomes of Bulk Fresh Osteochondral  Allografts for Cartilage Restoration  in the Knee

Outcomes of Bulk Fresh Osteochondral Allografts for Cartilage Restoration in the Knee

Fresh OCA's provided promising long-term graft survival and functional improvement in patients <50 years old. It can delay or prevent the need for total knee arthroplasty in young patients.

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Metrics of OsteoChondral Allografts (MOCA) Group Consensus Statements on the Use of Viable Osteochondral Allograft

This paper develops consensus addressing controversies in treatment of cartilage and subchondral defects with OCA transplantation.

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Osteochondral Allograft Transplant for Focal Cartilage Defects of the Femoral Condyles: Clinically Significant Outcomes, Failures, and Survival at a Minimum 5-Year Follow-up

This study evaluates clinically significant outcomes, failures, and graft survival rates after osteochondral allograft (OCA) transplant of the femoral condyles at a minimum of 5-year follow-up.

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Utility of Allograft Talus as a Source for Grafting of Concurrent Humeral and Glenoid Defects

Utility of Allograft Talus as a Source for Grafting of Concurrent Humeral and Glenoid Defects

This publication compares morphologic data of the talus using magnetic resonance images with previously reported values of the humeral head and the glenoid as a potential graft source for both the humeral head as well as glenoid reconstruction in the setting of concomitant glenoid and humeral head defects.

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Osteochondral Fresh Allograft Transfer to Address Osteochondral Defect of the First Metatarsal Head in Early Hallux Limitus

Osteochondral fresh allograft transfer of the first metatarsal can be an accepted surgical management option for early stages of hallux limitus.

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Comparison of Autologous Chondrocyte Implantation and Osteochondral Allograft Transplantation of the Knee

This paper compares differences between autologous chondrocyte implantation (ACI) and osteochondral allograft transplantation (OCA) of the knee in a large insurance database.

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Osteochondral Allograft Transplant of the Patella Using Femoral Condylar Allografts: MRI and Clinical Outcomes

Osteochondral Allograft Transplant of the Patella Using Femoral Condylar Allografts: MRI and Clinical Outcomes

In this study, patellar OCA using nonorthotopic FCA led to significant short-term improvements in pain and patient-reported outcomes.

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Shorter Storage Time Is Strongly Associated With Improved Graft Survivorship at 5 Years After Osteochondral Allograft Transplantation

The generally accepted expiration time of Fresh OCA's is 28 days in storage, a limited window from 14 to 28 days remains for implantation. OCA transplantation is a safe and successful treatment option for large osteochondral defects of the knee,

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Fresh Precut Osteochondral Allograft Core Transplantation for the Treatment of Capitellum Osteochondritis Dissecans

Fresh Precut Osteochondral Allograft Core Transplantation for the Treatment of Capitellum Osteochondritis Dissecans

OCA offers a number of advantages that make it ideal for large, uncontained defects, such as for treating capitellar OCD.

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Osteochondral Allograft Transplantation for Osteochondral Lesions of the Talus: Midterm Follow-up

Fresh OCA transplantation represents an alternative treatment option for larger osteochondral lesions of the talus with results showing that this procedure was a reasonable treatment option for large OLT.

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Midterm Results of Osteochondral Allograft Transplantation to the Humeral Head

OCA transplantation is a viable option for young patients with isolated humeral chondral injury. Read more

Humeral Head Osteochondral Allograft Reconstruction with Arthroscopic Anterior Shoulder Stabilization at a Long-Term Follow-Up

Humeral head osteochondral allograft reconstruction combined with an arthroscopic anterior stabilization procedure can be successful for recurrent shoulder instability and engaging Hill-Sachs lesion.

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Failures of Realignment Osteotomy

Failures of Realignment Osteotomy

Osteoarthritis (OA) of the knee is a disabling condition in young active patients. Although the etiology of knee OA is multifactorial, increased mechanical load as a result of limb malalignment has been clearly identified as a risk factor for the occurrence and progression of disease. 

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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

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.

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