Abstract:
:Isolated chondral and osteochondral defects of the knee are challenging clinical entities, particularly in younger patients. Cartilage treatment strategies have previously been characterized as palliation (ie, chondroplasty and debridement), repair (ie, drilling and microfracture), or restoration (ie, autologous chondrocyte implantation, osteochondral autograft, and osteochondral allograft). The osteochondral autograft transplantation procedure allows defects to be filled immediately with mature, hyaline articular cartilage by utilizing either an arthroscopic or a mini-open procedure. Graft harvest and placement can be technically demanding, but results show trends toward greater longevity, durability, and improved outcomes in high-demand patients when compared with alternative techniques. Improved results are shown in younger patients with isolated lesions between 1 and 4 cm.
journal_name
Sports Med Arthrosc Revjournal_title
Sports medicine and arthroscopy reviewauthors
Richter DL,Tanksley JA,Miller MDdoi
10.1097/JSA.0000000000000099subject
Has Abstractpub_date
2016-06-01 00:00:00pages
74-8issue
2eissn
1062-8592issn
1538-1951pii
00132585-201606000-00009journal_volume
24pub_type
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journal_title:Sports medicine and arthroscopy review
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