Allografts: Osteochondral, Shell, and Paste.

Abstract:

:There is an increasing need for articular cartilage restoration procedures. Hyaline cartilage lacks intrinsic healing capacity. Persistent osteochondral defects can lead to early and rapid degenerative changes. Microfracture and autologous chondrocyte implantation provide reasonable outcomes for smaller defects without bone loss. However, these techniques have limited effectiveness for lesions greater than 4 cm2 or with significant bony involvement. Ostochondral allografts provide an option for these lesions. This article reviews osteochondral allografts for articular defects. Emerging options provide different approaches to difficult cartilage defects. We discuss current screening, procurement, and storage methods, surgical techniques, outcomes, and bacterial/viral transmission.

journal_name

Clin Sports Med

authors

Wydra FB,York PJ,Vidal AF

doi

10.1016/j.csm.2017.02.007

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

509-523

issue

3

eissn

0278-5919

issn

1556-228X

pii

S0278-5919(17)30009-1

journal_volume

36

pub_type

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