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Osteochondral Autograft Transfer

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Cartilage Restoration

Abstract

Osteochondral allograft transfer (OAT) is indicated for the treatment of smaller defects, less than 2–4 cm2 in size, primarily on the femoral condyles. Treatment of larger lesions is limited by donor site morbidity and use in the patellofemoral joint is controversial. As an osteochondral treatment, it can address deficiencies of both cartilage and subchondral bone.

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References

  1. Reddy S, Pedowitz DI, Parekh SG, Sennett BJ, Okereke E. The morbidity associated with osteochondral harvest from asymptomatic knees for the treatment of osteochondral lesions of the talus. Am J Sports Med. 2007;35(1):80–5.

    Article  PubMed  Google Scholar 

  2. Garretson RB 3rd, Katolik LI, Verma N, Beck PR, Bach BR, Cole BJ. Contact pressure at osteochondral donor sites in the patellofemoral joint. Am J Sports Med. 2004;32(4):967–74.

    Article  PubMed  Google Scholar 

  3. Cohen ZA, McCarthy DM, Kwak SD, Legrand P, Fogarasi F, Ciaccio EJ, Ateshian GA. Knee cartilage topography, thickness, and contact areas from MRI: in-vitro calibration and in-vivo measurements. Osteoarthr Cartil. 1999;7(1):95–109.

    Article  PubMed  CAS  Google Scholar 

  4. Thaunat M, Couchon S, Lunn J, Charrois O, Fallet L, Beaufils P. Cartilage thickness matching of selected donor and recipient sites for osteochondral autografting of the medial femoral condyle. Knee Surg Sports Traumatol Arthrosc. 2007;15(4):381–6.

    Article  PubMed  Google Scholar 

  5. Koh JL, Wirsing K, Lautenschlager E, Zhang LO. The effect of graft height mismatch on contact pressure following osteochondral grafting: a biomechanical study. Am J Sports Med. 2004;32(2):317–20.

    Article  PubMed  Google Scholar 

  6. Huang FS, Simonian PT, Norman AG, Clark JM. Effects of small incongruities in a sheep model of osteochondral autografting. Am J Sports Med. 2004;32(8):1842–8.

    Article  PubMed  Google Scholar 

  7. von Rechenberg B, Akens MK, Nadler D, Bittmann P, Zlinszky K, Kutter A, Poole AR, Auer JA. Changes in subchondral bone in cartilage resurfacing—an experimental study in sheep using different types of osteochondral grafts. Osteoarthr Cartil. 2003;11(4):265–77.

    Article  PubMed  CAS  Google Scholar 

  8. Whiteside RA, Jakob RP, Wyss UP, Mainil-Varlet P. Impact loading of articular cartilage during transplantation of osteochondral autograft. J Bone Joint Surg Br. 2005;87(9):1285–91.

    PubMed  CAS  Google Scholar 

  9. Kang RW, Friel NA, Williams JM, Cole BJ, Wimmer MA. Effect of impaction sequence on osteochondral graft damage: the role of repeated and varying loads. Am J Sports Med. 2010;38(1):105–13.

    Article  PubMed  Google Scholar 

  10. Bentley G, Biant LC, Carrington RW, Akmal M, Goldberg A, Williams AM, Skinner JA, Pringle J. A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. J Bone Joint Surg Br. 2003;85(2):223–30.

    Article  PubMed  CAS  Google Scholar 

  11. Nho SJ, Foo LF, Green DM, Shindle MK, Warren RF, Wickiewicz TL, Potter HG, Williams RJ 3rd. Magnetic resonance imaging and clinical evaluation of patellar resurfacing with press-fit osteochondral autograft plugs. Am J Sports Med. 2008;36(6):1101–9.

    Article  PubMed  Google Scholar 

  12. Ozturk A, Ozdemir MR, Ozkan Y. Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2- to 7-year results. Int Orthop. 2006;30(3):200–4.

    Article  PubMed  Google Scholar 

  13. Hangody L, Fules P. Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: ten years of experimental and clinical experience. J Bone Joint Surg Am. 2003;85-A(Suppl 2):25–32.

    PubMed  Google Scholar 

  14. Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R. Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Jt Surg Am. 2003;85-A(2):185–92.

    Google Scholar 

  15. Hangody L, Dobos J, Balo E, Panics G, Hangody LR, Berkes I. Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study. Am J Sports Med. 2010;38(6):1125–33.

    Article  PubMed  Google Scholar 

  16. Gudas R, Stankevicius E, Monastyreckiene E, Pranys D, Kalesinskas RJ. Osteochondral autologous transplantation versus microfracture for the treatment of articular cartilage defects in the knee joint in athletes. Knee Surg Sports Traumatol Arthrosc. 2006;14(9):834–42.

    Article  PubMed  Google Scholar 

  17. Gudas R, Kalesinskas RJ, Kimtys V, Stankevicius E, Toliusis V, Bernotavicius G, Smailys A. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy. 2005;21(9):1066–75.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, 850 Boylston Street, 02467, Chestnut Hill, MA, USA

    Andreas H. Gomoll MD

  2. Department of Orthopedic Surgery, Cartilage Restoration Center of Indiana, 1260 Innovation Parkway, Suite #100, 46143, Greenwood, IN, USA

    Jack Farr MD

  3. OrthoIndy and Indiana Orthopedic Hospital, 46143, Greenwood, IN, USA

    Jack Farr MD

Authors
  1. Andreas H. Gomoll MD
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  2. Jack Farr MD
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Corresponding author

Correspondence to Andreas H. Gomoll MD .

Editor information

Editors and Affiliations

  1. OrthoIndy and Indiana Orthopedic Hospital, Indiana University School of Medicine, Greenwood, Indiana, USA

    Jack Farr

  2. Harvard Medical School, Brigham and Women's Hospital, Chestnut Hill, Massachusetts, USA

    Andreas H. Gomoll

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© 2014 Springer Science+Business Media New York

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Gomoll, A., Farr, J. (2014). Osteochondral Autograft Transfer. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0427-9_11

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  • DOI: https://doi.org/10.1007/978-1-4614-0427-9_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0426-2

  • Online ISBN: 978-1-4614-0427-9

  • eBook Packages: MedicineMedicine (R0)

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