This paper develops consensus addressing controversies in treatment of cartilage and subchondral defects with OCA transplantation.
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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.
Read moreOsteochondral fresh allograft transfer of the first metatarsal can be an accepted surgical management option for early stages of hallux limitus.
Read moreThis 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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In this study, patellar OCA using nonorthotopic FCA led to significant short-term improvements in pain and patient-reported outcomes.
Read moreThe 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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OCA offers a number of advantages that make it ideal for large, uncontained defects, such as for treating capitellar OCD.
Read moreFresh 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 moreOCA transplantation is a viable option for young patients with isolated humeral chondral injury. Read more
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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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 moreThe 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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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 moreFailure 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 moreIn 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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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 moreThis 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 moreSecond-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 moreTo 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 PDFThe 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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