OCA transplantation is a viable option for young patients with isolated humeral chondral injury. Read more
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.
Read moreHumeral head osteochondral allograft reconstruction combined with an arthroscopic anterior stabilization procedure can be successful for recurrent shoulder instability and engaging Hill-Sachs lesion.
Read moreOsteoarthritis (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 moreIn 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.
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).
Read moreThe 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 moreSubstantial 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.
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.
Read moreThis 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 moreAnatomic lateral ankle ligament reconstruction procedure (using allografts) results in significant improvements in patient function and outcome scores, with low rates of recurrent instability.
Read moreMeniscal allograft transplantation (MAT) has become an acceptable surgical treatment for select symptomatic and relatively young patients with a meniscal deficiency.
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.
Read moreThis 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 morePatellar OCA using femoral head allograft led to significant improvement in pain and patient-reported knee outcome scores.
Read moreOCA Transplantation is a reliable procedure with high rates of return to athletic activity at 88%.
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