Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy: Clinical Results of a Combined Single Procedure

Cartilage
Albert C HsuWilliam D Bugbee

Abstract

Objective To evaluate the outcome of patients who have undergone simultaneous osteotomy and osteochondral allograft (OCA) transplantation. Our hypothesis is that use of high tibial osteotomy and fresh OCA in a combined procedure is safe and effective without increasing morbidity in comparison to OCA alone. Design A case series of 17 patients underwent tibial osteotomy and simultaneous OCA during a single surgery. Osteotomy was indicated when axial alignment was within the affected compartment. Patients had a minimum of 2 years of follow-up after surgery. The mean graft size was 8.7 cm2, with 82% located on the medial femoral condyle alone and 18% involving the medial femoral condyle and one or more other sites. Data collection included demographics, osteotomy correction, graft site(s) and area, and clinical evaluation. Failure was defined as conversion to arthroplasty. Results Two of 17 patients (12%) failed at a mean of 9.3 years. The remaining 15 patients (88%) had intact allografts with mean survival of 8.1 years (SD 3.3). Five patients (29%) had an additional procedure, all undergoing osteotomy hardware removal. Of those with surviving allografts, mean pain and function scores improved significantly from the preoperative to...Continue Reading

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Citations

Nov 28, 2018·The American Journal of Sports Medicine·Luís E P TíricoWilliam D Bugbee
May 18, 2019·The American Journal of Sports Medicine·Luís E P TíricoWilliam D Bugbee
May 28, 2020·The American Journal of Sports Medicine·Joseph N LiuBrian J Cole
Jul 28, 2020·Arthroscopy Techniques·Robert A DuerrDavid C Flanigan
May 1, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jakob AckermannAndreas H Gomoll
Jul 13, 2021·Orthopaedic Journal of Sports Medicine·Simon GörtzAdam B Yanke

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