Fresh Osteochondral Allografts for Patellofemoral Arthritis

Torga, Roger; Teitge, Robert A.

doi:10.1097/01.blo.0000201152.98830.ed

Cited by 115 publications

(85 citation statements)

References 44 publications

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“…Interestingly, however, for bipolar procedures, PF transplants have a better survival (though inferior to monopolar) than those in the tibiofemoral compartments. [27][28][29][30] Reported outcomes for PF osteochondral allograft are in the Table. Some other authors reported PF transplants as part of general case series of knee osteochondral allograft, but specific outcomes were not described. [33][34][35] Conclusions Fresh osteochondral allograft resurfacing of the PF joint is a challenging procedure owing to the complex anatomy of the central trochlea and patella.…”

Section: Discussionmentioning

confidence: 99%

Patellofemoral Osteochondral Allograft Transplantation

Gomoll

Farr

Hinckel

2015

Operative Techniques in Sports Medicine

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Section: Discussionmentioning

confidence: 99%

Patellofemoral Osteochondral Allograft Transplantation

Gomoll

Farr

Hinckel

2015

Operative Techniques in Sports Medicine

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“…10,32 In another retrospective review of 14 fresh patellofemoral and patellar allografts, greater than half have been shown to survive over 10 years with significant improvement in knee scores and halted progression of patellofemoral osteoarthritis on radiographs. 33 Therefore, osteochondral allograft transplant of the PFJ is viewed as a salvage procedure for young, active patients who have failed other procedures and may not be candidates for the long rehabilitation protocol associated with ACI.…”

Section: Fresh Osteochondral Allograft Transplant Surgerymentioning

confidence: 99%

Knee Cartilage Patellofemoral Injuries

Giuliani

Burns

Owens

et al. 2010

Techniques in Orthopaedics

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Cartilage injuries of the patellofemoral joint present a difficult challenge owing to the unique anatomy and high shear forces. Active duty military personnel commonly present with cartilage injuries of the patella and trochlea owing to acute trauma or chronic repetitive injury. The initial treatment for patellofemoral chondral injury is nonoperative modalities to include: rest, activity modification, anti-inflammatory medication, and physical therapy. Physical therapy predominantly focuses on strengthening the vastus medialis obliquus to improve patellofemoral alignment. Reconstructive cartilage procedures like fresh osteochondral allograft transplant and autologous chondrocyte implantation are used to restore articular congruity and minimize symptoms when nonoperative modalities and common first-line reparative techniques fail. Although there is currently no evidencebased algorithm for the management of cartilage lesions of the patellofemoral joint, there are trends in treatment that help guide the surgeon. The successful outcome of treatment for cartilage lesions depends on recognizing and addressing concomitant pathology with proximal or distal realignment and patellar unloading procedures. Outcomes also depend on appropriate patient selection with his/her commitment to an extended period of rehabilitation and the ability to modify their activities. The active duty patient does not always have the ability to participate in an extended period of rehabilitation and must be treated with the best treatment option that allows an effective return to duty. Therefore, the purpose of this article is to review the standard treatment options for chondral lesions of the patellofemoral joint and our preferred treatment options in the active duty patient.

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“…In this series, at the last follow-up, eight grafts were in place, four for more than 10 years and two for more than 5 years. Of the non-surviving allografts, three survived more than 10 years [37]. Jamali et al reported five failures in 20 knees (18 patients) treated for patellofemoral lesions [38].…”

Section: Clinical Evidencementioning

confidence: 99%

The use of osteochondral allografts in the management of cartilage defects

Demange

Gomoll

2012

Curr Rev Musculoskelet Med

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Large symptomatic osteochondral defects in a young active population represent a therapeutic challenge for orthopedic surgeons, since standard interventions such as debridement, microfracture and autologous osteochondral transfer are not suitable for the treatment of these larger lesions. Fresh osteochondral allograft transplantation provides a surgical option for these challenging defects, both as a primary procedure and for salvage of prior failed treatment attempts. This article reviews the basic science, indications, technique, and evidence for osteochondral allograft transplantation in the knee.

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Fresh Osteochondral Allografts for Patellofemoral Arthritis

Abstract: Therapeutic study, Level IV (case series). See the Guidelines for Authors for a complete description of levels of evidence.

Cited by 115 publications

References 44 publications

Patellofemoral Osteochondral Allograft Transplantation

Patellofemoral Osteochondral Allograft Transplantation

Knee Cartilage Patellofemoral Injuries

The use of osteochondral allografts in the management of cartilage defects

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