Fresh Osteochondral Allograft Transplants in the Knee: Bipolar and Beyond.

The Journal of Knee Surgery
James L CookAnna J Schreiner

Abstract

Knee patients who have sustained chondral and osteochondral lesions suffer from debilitating pain, which can ultimately lead to posttraumatic osteoarthritis and whole-joint disease. Older, nonactive patients are traditionally steered toward total knee arthroplasty (TKA), but younger, active patients are not good candidates for TKA based on implant longevity, complications, morbidity, and risk for revision, such that treatment strategies at restoring missing hyaline cartilage and bone are highly desired for this patient population. Over the past four decades, fresh osteochondral allograft (OCA) transplantation has been developed as a treatment method for large (> 2.5 cm2) focal full-thickness articular cartilage lesions. This article documents our own institutional OCA journey since 2016 through enhanced graft preservation techniques (the Missouri Osteochondral Preservation System, or MOPS), technical improvements in surgical techniques, use of bone marrow aspirate concentrate, bioabsorbable pins and nails, and prescribed and monitored patient-specific rehabilitation protocols. Further follow-up with documentation of long-term outcomes will provide insight for continued optimization for future applications for OCA transplantatio...Continue Reading

References

Jan 1, 1992·The Journal of Bone and Joint Surgery. British Volume·R J BeaverA E Gross
Apr 3, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jaskarndip ChahalBrian J Cole
Apr 5, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S GianniniF Vannini
Jul 18, 2014·Clinical Orthopaedics and Related Research·James L CookClark T Hung
Jan 13, 2015·The American Journal of Sports Medicine·Gokhan MericWilliam D Bugbee
Feb 13, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alan GetgoodWilliam Bugbee
May 3, 2016·Sports Medicine and Arthroscopy Review·Ioannis C Zouzias, William D Bugbee
Jun 19, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Andrew T AssenmacherAaron J Krych
Oct 13, 2017·Toxicologic Pathology·Keiichi KurokiJames L Cook
Oct 19, 2017·The American Journal of Sports Medicine·Filippo FamiliariRobert F LaPrade
Oct 20, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Lasun O OladejiBrett D Crist
Dec 12, 2017·Current Opinion in Rheumatology·Ernest R Vina, C Kent Kwoh
Mar 8, 2018·The Journal of Knee Surgery·Charles A BaumannJames L Cook
May 6, 2019·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Zachary T CrawfordBrian M Grawe
Mar 22, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Anna J SchreinerJames L Cook

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