Bipolar Fresh Osteochondral Allografting of the Tibiotalar Joint

Bugbee, William D.; Khanna, Gaurav; Cavallo, Marco; McCauley, Julie C.; Görtz, Simon; Brage, Michael E.

doi:10.2106/jbjs.l.00165

Cited by 57 publications

(50 citation statements)

References 30 publications

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“…2 The most recent case series by the same group (which included some of the previously reported patients) reported on 86 patients at an average follow-up of 5.3 years. 68 They reported a 62% rate of good or excellent outcomes, though a 92% rate of patient satisfaction. Yet, there was still a 42% of reoperation and a 29% rate of allograft failure requiring revision allograft, total ankle arthroplasty, ankle fusion, or below knee amputation.…”

Section: Discussionmentioning

confidence: 98%

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Osteochondral allograft transplantation in the ankle: a review of current practice

Fuchs¹,

Kadakia²

2015

ORR

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Abstract:Osteochondral allograft transplantation is a technique that was first developed to treat cartilage pathology in the knee. Over the past 15 years, this technology has been translated to the treatment of osteochondral lesions and end-stage arthritis of the ankle. For osteochondral lesions of the talus or the tibia, a fresh osteochondral allograft transplant can be fashioned to match a specific defect and is useful for large, cystic or uncontained lesions. For a young patient with end-stage arthritis, bipolar fresh osteochondral allograft transplantation is a treatment alternative to ankle arthrodesis. Evidence for these operations is limited and consists primarily of case series, which have reported variable rates of success and in some cases high rates of complications and reoperations. Nevertheless, these techniques continue to evolve and should be considered as options for patients with certain conditions that are particularly challenging to treat.

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Section: Discussionmentioning

confidence: 98%

“…[68][69][70] Any deformity or instability must be corrected either prior to or concomitant with the allograft procedure. Contraindications include large cystic lesions, noncorrectable deformity or instability, inflammatory arthropathy, infection, neuropathy and vascular disease.…”

Section: Bipolar Allograft For End-stage Osteoarthritis Of the Anklementioning

confidence: 99%

Osteochondral allograft transplantation in the ankle: a review of current practice

Fuchs¹,

Kadakia²

2015

ORR

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“…One OA was bipolar ankle allograft transplantation, similarly as used in severe tibiotalar arthritis. This technic preserves certain tibiotalar motion and maintains bone stock, having the benefit of leaving ankle arthrodesis or total ankle prosthetic arthroplasty as a viable salvage procedure [2,3,[41][42][43][44]. Potentially the use of fresh osteochondral allograft may limit articular failures complications and improve results.…”

Section: Discussionmentioning

confidence: 99%

“…Structural allograft has been used to correct deformities or to fill bone defects secondary to tumor excisions, trauma, osteochondral lesions, or intercalary arthrodesis [1][2][3][4]. However, the quality of published evidence supporting the use of allograft transplantation in foot and ankle surgery has been reported as fair [5].…”

Section: Introductionmentioning

confidence: 99%

Structural allograft reconstruction of the foot and ankle after tumor resections

et al. 2016

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“…Indications for choosing this method for reconstruction are similar to those for osteochondral autologous transplantation, but without limitations based on size [36] . In patients with severe tibiotalar arthritis, the use of bipolar osteochondral allografts has been described [45] . Baums …”

Section: Osteochondral Allograft Transplantationmentioning

confidence: 99%

Cartilage repair techniques of the talus: An update

Baums¹

2014

WJO

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Symptomatic chondral or osteochondral defects of the talus reduce the quality of life of many patients. Although their pathomechanism is well understood, it is well known that different aetiologic factors play a role in their origin. Additionally, it is well recognised that the talar articular cartilage strongly differs from that in the knee. Despite this fact, many recommendations for the management of talar cartilage defects are based on approaches that were developed for the knee. Conservative treatment seems to work best in paediatric and adolescent patients with osteochondritis dissecans. However, depending on the size of the lesions, surgical approaches are necessary to treat many of these defects. Bone marrow stimulation techniques may achieve good results in small lesions. Large lesions may be treated by open procedures such as osteochondral autograft transfer or allograft transplantation. Autologous chondrocyte transplantation, as a restorative procedure, is well investigated in the knee and has been applied in the talus with increasing popularity and promising results but the evidence to date is poor. The goals of the current article are to summarise the different options for treating chondral and osteochondral defects of the talus and review the available literature.

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Bipolar Fresh Osteochondral Allografting of the Tibiotalar Joint

Cited by 57 publications

References 30 publications

Osteochondral allograft transplantation in the ankle: a review of current practice

Osteochondral allograft transplantation in the ankle: a review of current practice

Structural allograft reconstruction of the foot and ankle after tumor resections

Cartilage repair techniques of the talus: An update

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