Acute Delamination of Commercially Available Decellularized Osteochondral Allograft Plugs: A Report of Two Cases.

Abstract:

:Articular cartilage injuries, and corresponding surgical procedures, are occurring with increasing frequency as identified by a review of recent surgical trends. Concerns have grown in recent years regarding the longevity of results following microfracture, with a shift toward cartilage restoration procedures in recent years. This case report describes 2 cases of acute failure following the use of commercially available osteochondral allograft plugs used for the treatment of osteochondral defects of the distal femur. In both cases the chondral surface of the plug delaminated from the underlying cancellous bone, resulting in persistent pain and swelling requiring reoperation and removal of the loose fragments. Caution should be employed when considering use of these plugs for the treatment of osteochondral lesions, as similar outcomes have not been noted with other cartilage restoration techniques.

journal_name

Cartilage

journal_title

Cartilage

authors

Degen RM,Tetreault D,Mahony GT,Williams RJ

doi

10.1177/1947603515626973

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

316-21

issue

4

eissn

1947-6035

issn

1947-6043

pii

10.1177_1947603515626973

journal_volume

7

pub_type

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