Fresh Osteochondral Allografting in the Treatment of Osteochondritis Dissecans of the Femoral Condyle

Emmerson, Bryan C.; Görtz, Simon; Jamali, Amir A.; Chung, Christine B.; Amiel, David; Bugbee, William D.

doi:10.1177/0363546507299932

Cited by 268 publications

(248 citation statements)

References 38 publications

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“…Another possible salvage procedure with short-term results of IKDC improvement from 37 to 70 points, although not currently available in the United States, is matrix-supported autogenous chondrocyte implantation [75]. Fresh osteochondral allograft offers the ability to simultaneously address the bone and cartilage defects with a single graft with good pain relief in large lesions [18,23]. Furthermore, it may be important to consider other associated factors in the treatment of OCD.…”

Section: Treatmentmentioning

confidence: 99%

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Edmonds

Polousky

2013

Clinical Orthopaedics &Amp; Related Research

206

223

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Background Osteochondritis dissecans (OCD) was first described to provide an explanation for the nontraumatic development of loose bodies within a joint. Despite many reports on the subject, there remains no clear understanding of the etiology, natural history, or treatment. Questions/purposes This review was undertaken to delineate (1) the etiology of OCD; (2) the presentation and locations; (3) the most appropriate imaging modalities; and (4) the most effective treatment strategies. Methods We reviewed the English literature using a database compiled from a Medline search for ''osteochondritis dissecans''. We identified 1716 publications, 1246 of which were in English. After exclusions, we reviewed 748 articles and of these cited 85. The observations of each study were then synthesized into this report. Results There appears to be no consensus concerning the etiology of OCD lesions. The presentations and locations are variable, but the knee, ankle, and elbow are most commonly involved. Although plain film assessment is important in OCD, there appears to be a trend toward the use of MRI, but the preferred sequences are in evolution. We found no consensus on the treatment of these lesions, related in part to the lack of agreement of methods for assessing outcomes. Conclusions Despite more than a century of study, we have made little advancement in our understanding of OCD. A study group has been formed to address this issue and actively seeks to answer these unknown issues regarding OCD.

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Section: Treatmentmentioning

confidence: 99%

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Edmonds

Polousky

2013

Clinical Orthopaedics &Amp; Related Research

206

223

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“…The results have been uniformly satisfactory, taking into account a reasonable length of follow-up (69,(71)(72)(73) . Allografts are generally reserved for cases of AOCD.…”

Section: Osteochondral Allograftsmentioning

confidence: 81%

Osteocondrite dissecante do joelho: diagnóstico e tratamento

Mestriner¹

2012

Rev. bras. ortop.

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“…Treatment of steroid-associated osteonecrosis has demonstrated acceptable results [34••], but inferior to posttraumatic osteochondral lesions [35]. The treatment of osteocondritis dissecans lesions has shown good to excellent results in up to three quarters of the patients [9].…”

Section: Clinical Evidencementioning

confidence: 99%

“…While initially reserved for the treatment of large osteochondral defects after trauma or resection of malignant tumors, it has become an increasingly popular choice for acute or degenerative chondral and osteochondral defects in an otherwise healthy joint. In the past two decades, multiple clinical studies have demonstrated the efficacy of fresh osteochondral allograft transplantation [6,[8][9][10][11][12][13]. Initially, grafts were implanted within 24 hours of procurement.…”

Section: Introductionmentioning

confidence: 99%

The use of osteochondral allografts in the management of cartilage defects

Demange

Gomoll

2012

Curr Rev Musculoskelet Med

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Large symptomatic osteochondral defects in a young active population represent a therapeutic challenge for orthopedic surgeons, since standard interventions such as debridement, microfracture and autologous osteochondral transfer are not suitable for the treatment of these larger lesions. Fresh osteochondral allograft transplantation provides a surgical option for these challenging defects, both as a primary procedure and for salvage of prior failed treatment attempts. This article reviews the basic science, indications, technique, and evidence for osteochondral allograft transplantation in the knee.

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Fresh Osteochondral Allografting in the Treatment of Osteochondritis Dissecans of the Femoral Condyle

Abstract: With greater than 70% good or excellent results, fresh osteochondral allograft transplantation is a successful surgical treatment for osteochondritis dissecans of the femoral condyle.

Cited by 268 publications

References 38 publications

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Osteocondrite dissecante do joelho: diagnóstico e tratamento

The use of osteochondral allografts in the management of cartilage defects

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