RESEARCH & ARTICLES

CATEGORY osteochondral allograft

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,

Read more

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.

Read more

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.

Read more

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.

Read more

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. 

Read more

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).

Read more

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.

Read more

Defining 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 more

Return 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.

Read more

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. 

Read more

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.

Read more

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.

Read more

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. 

Read more   Download PDF

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.

Read more

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.

Read more

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.

Read more

Predictors of Return to Athletic Activity Following Osteochondral Allograft Transplantation of the Knee

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 more

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.

Read more

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.

Read more