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RESEARCH & ARTICLES

Radiographic Methods Are as Accurate as Magnetic Resonance Imaging for Graft Sizing Before Lateral Meniscal Transplantation

This papers shows that the Yoon modification to the Pollard method showed better results than the Pollard method alone, and was not statistically different from that of MRI.

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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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Long-term Outcomes and Survivorship of Fresh-Frozen Meniscal Allograft Transplant With Soft Tissue Fixation: Minimum 10-Year Follow-up Study

Meniscal allograft transplant (MAT) is considered an effective procedure for reducing pain and improving knee function.

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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

Editorial Commentary: Comparing Medial and Lateral Meniscal Root Tears Is Like Comparing Apples and Oranges

Editorial Commentary: Comparing Medial and Lateral Meniscal Root Tears Is Like Comparing Apples and Oranges

This paper shows that comparing medial and lateral meniscal root outcomes, surgeons are clearly comparing apples and oranges or, maybe better stated, comparing young athletes and older sedentary patients.

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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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Failure of Meniscus Allograft Transplantation

In select patients with an initial functional improvement following MAT prior to subsequent failure, RMAT may be indicated to alleviate pain and perhaps delay progression of osteoarthritis.

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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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Articular Comorbidities in Revision Cartilage Surgery: Meniscal Allograft Transplantation and Realignment

Substantial evidence suggests that joint biomechanics can be optimized through the judicious use of realignment osteotomy or MAT, and creating an ideal environment is essential for effective and durable cartilage surgery.

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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. 

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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.

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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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