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 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.
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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.
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Anatomic 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.
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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 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%.
Read moreThis 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 moreThis article focuses on the use of a single OCA plug to treat a focal unipolar defect of the patella.
Read moreGraft integration is crucial for the long-term success of an OCA. This is one of several upcoming studies that seeks to determine how grafts can better incorporate into the patient’s bone.
Read moreThis paper discusses osteochondral allograft transplantation as an option for the treatment of selected athletes with large osteochondral lesions of the talus. The results of this study may help active young patients and their surgeons to better understand outcomes and options in their shared decision-making process.
Read moreThis paper seeks to determine current reported treatment options for isolated tibial plateau cartilage lesions.
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This study identified similar absolute extrusion and significantly lower postoperative lateral meniscal extrusion rates after open MAT compared with arthroscopic MAT.
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