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Technique of mosaicplasty

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The Knee Joint
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Abstract

Mosaicplasty (osteochondral autograft transplantation surgery) refers to the process of obtaining small osteochondral cylinders from non-weight bearing regions at the periphery of the femoral condyles and transferring them to prepared recipient sites on weight bearing surfaces (1). Th is technique was originally developed for the treatment of patients with full-thickness osteochondral lesions of the weight bearing articular surface. The mosaicplasty technique has also been utilized successfully for the stabilization and treatment of osteochondral fragments such as osteochondritis dissecans (OCD) lesions (2).

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References

  1. Hangody L, Fecko P, Bartha L, Bodo G, Kish G (2001) Mosaicplasty for the treatment of articular cartilage defects of the articular defects of the knee and ankle. Clin Ortho Relat Res 391S: S328–S336

    Article  Google Scholar 

  2. Morelli M, Nagamori J, Miniaci A (2002) Management of chondral injuries of the knee by osteochondral autologous transplantation (mosaicplasty). J Knee Surg 15(3):185–190

    Google Scholar 

  3. Magnuson PB (1941) Joint debridement: surgical treatment of degenerative arthritis. Surg Gynecol Obstet 73:1

    Google Scholar 

  4. Buckwalter JA, Mankin HJ (1998) Articular cartilage repair and transplantation. Arthritis Rheum 41:1331

    Article  PubMed  CAS  Google Scholar 

  5. Insall JN (1974) The Pridie debridement operation for osteoarthritis of the knee. Clin Ortho 101:61–67

    Google Scholar 

  6. Dozin B, Malpeli M, Cancedda R, et al. (2005). Comparative evaluation of autologous chondrocyte implantation and mosaicplasty. A multicentered randomized clinical trial. Clin J Sports Med 15:220–226

    Article  Google Scholar 

  7. Brittberg M, Lindahl A, Nilsson A, et al. (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Eng J Med 331:889–895

    Article  CAS  Google Scholar 

  8. Browne JE, Branch TP (2000) Surgical alternatives for the treatment of articular cartilage lesions. J Am Acad Orthop Surg 8:180–189

    PubMed  CAS  Google Scholar 

  9. Lexer E (1908) Substitution of whole or half joints from freshly amputated extremities by free plastic operation. Surg Gynecol Obstet 6:601–607

    Google Scholar 

  10. Yamashita F, Skakida K, Suzu F, Takai S (1985) The transplantation of an autogenic osteochondral fragment for osteochondritis of the knee. Clin Orthop Rel Res 210:43–50

    Google Scholar 

  11. Bugbee WD, Convery FR (1995) Osteochondral allograft transplantation. Clin Sports Med 18:67–75

    Article  Google Scholar 

  12. Lane JG, Massie JB, Ball ST, et al. (2004) Follow-up of osteochondral plug tranfers in a goat model. A 6-month study. Am J Sports Med 32(6):440–1450

    Article  Google Scholar 

  13. Evans PJ, Miniaci A, Hurtig MB (2004). Manual punch versus power harvesting of osteochondral grafts. Arthroscopy 20:306–310

    Article  PubMed  Google Scholar 

  14. Huang FS, Simonian PT, Norman AG, Clark JM (2004) Effects of small incongruencies in a sheep model of osteochondral allografting. Am J Sports Med 32(8):1–7

    Article  CAS  Google Scholar 

  15. Hangody L, Fules P (2003) 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 85:25–32

    PubMed  Google Scholar 

  16. Jakob RP, Torsten F, Gautier E, Mainil-Varlet P (2002) Autologous osteochondral grafting in the knee: indications, results, and refl ections. Clin Orthop Relat Res 401:170–184

    Article  PubMed  Google Scholar 

  17. Koulalis D, Schultz W, Heyden M, Konig F (2004). Autologous osteochondral grafts in the treatment of cartilage defects of the knee joint. Knee Surg Sports Traumatol Arthrosc 12:329–334

    Article  PubMed  CAS  Google Scholar 

  18. Ozturk A, Ozdemir MR, Ozkan Y (2006) Osteochondral allografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2 to 7-year results. Int Orthop 30:200–204

    Article  PubMed  Google Scholar 

  19. Marcacci M, Kon E, Zaffagnini S, et al. (2005) Multiple osteochondral arthroscopic grafting (mosaicplasty) for cartilage defects of the knee: prospective study results at 2 year follow-up. Arthroscopy 21:462–470

    Article  PubMed  Google Scholar 

  20. Feczko P, Hangody L, Varga J, et al. (2003). Experimental results of donor site fi lling for autologous osteochondral mosaicplasty. Arthroscopy 19:755–761

    Article  PubMed  Google Scholar 

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© 2012 Springer-Verlag France, Paris

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Miniaci, A., Farrow, L.D. (2012). Technique of mosaicplasty. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_40

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  • DOI: https://doi.org/10.1007/978-2-287-99353-4_40

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99352-7

  • Online ISBN: 978-2-287-99353-4

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