Cartilage restoration is becoming an increasingly popular modality to address chondral defects. Minimal complication rates suggest that these procedures may be safely performed concomitantly with other interventions.
Read moreThis article describes the preferred surgical approach for the treatment of large, uncontained OCD lesions of the medial femoral condyle using a fresh OCA and the Arthrex BioUni Instrumentation System.
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Meniscal transplantation is clinically effective in treating patients with symptomatic meniscal deficiency.
Read moreMAT can yield good long-term survivorship rates of allografts remaining functional after 10 and 15 years.
Read moreMAT can improve function and reduce pain in the paediatric population, and is, therefore, a viable treatment option for the management of the symptomatic paediatric meniscal-deficient knee.
Read morePhysical activity after MAT appears possible, especially for low-impact sports.
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Bipolar osteochondral allograft transplantation of the patella and trochlea provide significant improvement in functional outcomes.
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Matching the radius of curvature or anterior-posterior length would not be necessary for potential medial-to-medial or lateral-to-lateral allograft transplants within this patient group.
Read moreAs OCA transplantation has emerged as a popular option for the treatment of cartilage defects, standard techniques for graft matching rely on pairing donor-recipient size. However, this can be mitigated by using OCA cores for small lesions.
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To assess outcomes of patients who concomitantly underwent an osteochondral allograft (OCA) transplantation and osteotomy.
Read moreFresh osteochondral allograft transplantation may be a viable treatment option for osteochondral defects of the femoral head in young, active patients with minimal preexisting joint deformity.
Read moreStudies looking at transplantation of fresh OCAs in the general population have shown reliable pain relief and return to activities of daily living.
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The aim of this study was to present a simple and reproducible way to perform a fresh osteochondral patellar allograft resurfacing procedure covering the indications, surgical technique, site preparation, graft preparation, and graft placement.
Read moreThe use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat large post-traumatic osteochondral defects of the proximal tibia in young active patients.
Read moreWith newer surgical approaches and a better understanding of the mechanical requirements of the PF joint, the use of OCA transplantation has shown increasingly better results.
Read morePatient satisfaction was high following the OCA transplantation, with the rate remaining constant over time. We observed a strong association between patient satisfaction and measures of pain, function, activity level, and quality of life following OCA transplantation.
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Anterior glenoid reconstruction with fresh distal tibia allograft (DTA) has been described for management of recurrent shoulder instability, with encouraging early outcomes with similar clinical outcomes as the Latarjet procedure.
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Dr. LaPrade recently published a case report for transplanting a very large trochlear allograft in a 21 year old female patient with trochlea dysplasia.
Read moreMany cartilage repair algorithms use lesion size to choose the appropriate surgical technique. The purpose of this study was to determine if lesion size affects outcomes after an osteochondral allograft (OCA) transplantation. The results of this study suggest that graft size does not influence outcomes or survivorship. OCA transplantation is an effective treatment in the femoral condyle regardless of size.
Read more Download PDFTo evaluate the survivorship and clinical outcomes of meniscal allograft transplantations (MAT) and determine the impact cartilage status may have on these outcomes. MAT has shown to be an effective surgical treatment with good survivorship and functional outcomes at medium to long term follow-up. Patients with lower grades of cartilage damage have better MAT survivorship but all patients benefit clinically.
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