The use of fresh-stored osteochondral allograft allows surgeons to both avoid donor-site morbidity and treat lesions of a larger surface area as a treatment options for the management of osteochondritis dissecans.
Read moreThere is good evidence for use of new techniques including the distal tibia allograft, which can be used as reconstruction options.
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Posterior glenoid augmentation is a technically demanding procedure that requires strict surgical indication. Although both iliac crest and distal tibia allograft have been shown to restore glenohumeral contact pressures, the authors prefer distal tibia allograft because of its congruity to the articular surface, lack of graft harvest morbidity, and retained cartilaginous surface for articulation with the native humeral head in a patient cohort that is at risk for progressive osteoarthritic development.
Read moreOsteochondral allografts are used to fill deeper bone defects where the thin osseous layer of cryopreserved OCA implants are not sufficient for these deeper lesions.
Read moreThe advantages of using the described OCA technique is that it allows chondral defects to be immediately filled with mature articular cartilage, it avoids the donor-site morbidity, and histologic analysis of OCA has shown high survivorship of the transplanted hyaline cartilage.
Read moreThere was not a significant difference in clinical outcomes between the two groups suggesting that condyle-specific matching may not be necessary.
Read moreOverall, there seems to be no significant difference between the postoperative patient reported outcomes in terms of isolated MAT and combined MAT.
Read moreTo assess meniscal allograft transplantation (MAT) outcomes and compare the results of different root fixation techniques through systematic literature review. The significant overall improvements in function and pain scores accompanied by low allograft failure rates suggest that MAT is a reliable option. The current data does not demonstrate a difference in fixation method which may suggest that it does not have a significant influence on clinical outcome.
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Given the loss of integrity in the subchondral bone that occurs with other techniques as well as the persistent damage to the articular cartilage, many have begun to favor anatomic reconstruction with osteochondral allograft.
Read moreOCA transplantation of the humeral head has previously been described for the treatment of Hills-Sachs lesions associated with glenohumeral instability. Promising results have also been reported using this technique for humeral head articular cartilage defects.
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This paper discusses the preparation and the implantation of the medial tibial plateau and medial meniscal allograft. The most important finding of this report is that tibial allograft transplant offers a viable solution in patients with large osteochondral defects in the setting of ligament injuries.
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Patients undergoing lateral meniscal allograft transplantation demonstrated greater pain relief and functional improvement than patients undergoing medial meniscal allograft transplantations.
Read moreAt an average follow-up of 45 months, fresh DTA reconstruction for recurrent anterior shoulder instability results in a clinically stable joint with excellent clinical outcomes and minimal graft resorption. Optimal allograft placement resulted in superior bony incorporation with the native glenoid.
Read moreFresh distal tibia allograft reconstruction results in a clinically stable joint with excellent outcomes in reducing the rate of dislocation and improving pain and function.
Read moreThis paper assesses osteochondral allograft (OCA) survivorship in an athletic patient population as well as determine the level of sport patients are able to return to post-operatively. OCA transplantation can be a successful solution for cartilage injuries in athletes as it allows the majority of patients to resume their highly active lifestyles.
Read moreThis paper explores the technique for anatomical glenoid reconstruction using a fresh osteochondral distal tibia allograft after a failed Latarjet procedure.
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The purpose of this paper is to nvestigate the long-term survival rate of meniscal allograft transplantations (MAT) with bone fixation. MAT using a bone fixation technique demonstrated a high clinical survival rate over long-term follow-up.
Read moreDespite the high incidence of reoperation and failure, carefully selected patients can experience substantially improved function as a result of fresh OCA transplantation in the talus.
Read moreThe purpose of this paper is to determine functional outcomes and osteochondral allograft (OCA) survivorship in patients that received an OCA transplantation as a salvage treatment for knee fracture. Although the reoperation rate is high, treating osteochondral lesions associated with knee fractures with an OCA can be a successful salvage treatment option.
Read moreThe purpose of the paper is to compare the current standard saline lavage technique to a combination saline and high-pressure carbon dioxide lavage to determine their ability to remove marrow elements from osteochondral allografts (OCA).
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