Rehabilitation, Restrictions, and Return to Sport After Cartilage Procedures

Wagner, Kyle R.; Kaiser, Joshua T.; DeFroda, Steven F.; Meeker, Zachary D.; Cole, Brian J.

doi:10.1016/j.asmr.2021.09.029

Cited by 11 publications

(11 citation statements)

References 44 publications

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“…other factors. 13,20,31 Moreover, the small number of professional athletes with these injuries are subject to coaching decisions, match-ups, and availability of other players, all of which affect their timing for return. 20 Clinical outcomes significantly improved in each PRO measured postoperatively at final follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, however, return-tosport literature must be interpreted with some degree of caution given the many independent variables, beyond the treatment of the articular cartilage defect itself, that are influential determinants related to returning an athlete to his or her preinjury status. 20,31 The purpose of this study was to evaluate the experience of the senior author (B.J.C.) in treating professional athletes by means of osteochondral allograft transplant, including analyzing clinical outcomes and return to sport.…”

mentioning

confidence: 99%

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Outcomes and Return to Sport After Knee Osteochondral Allograft Transplant in Professional Athletes

Allahabadi,

Quigley,

Frazier

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Limited data are available on the outcomes and return-to-sport rates after osteochondral allograft transplant in professional athletes. Purpose: To evaluate the experience of a single senior surgeon in treating professional athletes with osteochondral allograft transplant, including analyzing clinical outcomes and return to sport. Study Design: Case series; Level of evidence, 4. Methods: The authors performed a retrospective review of professional athletes treated with primary osteochondral allograft to the knee between January 1, 2001, and January 1, 2021, by a single surgeon. Athletes were required to play at the professional level in their sport and have a minimum of 2 years of follow-up. Return-to-sport rates and timing were evaluated. Patient-reported outcomes were assessed preoperatively and at final follow-up. Reoperations and failures were also tabulated. Results: The study included 15 professional athletes who represented a variety of sports, with follow-up at a mean of 4.91 ± 2.2 years (range, 2.0-9.4 years). The majority (8 athletes; 53%) had undergone prior surgeries to the operative knee. Eleven (73%) returned to sport at a mean of 1.22 ± 0.4 years (range, 0.75-2 years), and of the 8 undergoing isolated osteochondral allograft, 7 (87.5%) returned at 1.28 ± 0.3 years. Ten athletes (66.7% of total; 90.9% of those who returned) returned to sport at the same level or higher compared with before surgery. Significant improvements were seen in each assessed patient-reported outcome score at final follow-up. Two of the 3 (66.7%) patients who underwent concomitant meniscal allograft transplant were able to return to sport at the same level or higher than presurgery. Three (20%) underwent second-look arthroscopy, 1 (6.7%) of whom underwent cartilage debridement of the osteochondral allograft. Conclusion: Osteochondral allograft transplant in professional athletes can result in a high rate of return to play at a similar or higher level as presurgery, even when performed with concomitant procedures such as meniscal allograft transplant. High-level athletes should expect significant postoperative improvement in clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Outcomes and Return to Sport After Knee Osteochondral Allograft Transplant in Professional Athletes

Allahabadi,

Quigley,

Frazier

et al. 2024

Orthopaedic Journal of Sports Medicine

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“…Previous studies have reported return-to-play rates ranging from 54% to 88% after OCA transplantation in non-professional athletes. 16 , 17 , 18 , 19 , 20 In a recent case series of professional basketball players, Balazs et al. 21 reported an overall rate of return to play at the same level of 80% after a mean of 14 months’ follow-up.…”

Section: Discussionmentioning

confidence: 99%

Osteochondral Allograft Transplant for Combined Medial and Lateral Patellar Cartilage Lesions: The Osteochondral Wide Lesion (OWL) Technique

Goes

Vivacqua

Cruz

et al. 2022

Arthroscopy Techniques

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“…[164] In the longer term, the time to return to active sport can range between 6 and 18 months, with differences based on treatment strategies. [168,169] Data for post-operative care following novel tissue engineering implantation is more sparse, and so optimum strategies are yet to be defined. [166] Though it is well understood that mechanical stimulation is critical for healthy cartilage metabolism, how much joint motion and weight bearing is beneficial (but not detrimental) to the maturation of an in situ engineered bioscaffold is unclear.…”

Section: Post-operative Carementioning

confidence: 99%

“…[ 164 ] In the longer term, the time to return to active sport can range between 6 and 18 months, with differences based on treatment strategies. [ 168,169 ]…”

Section: A Comparison or Ex Situ And In Situ Tissue Engineering Strat...mentioning

confidence: 99%

Within or Without You? A Perspective Comparing In Situ and Ex Situ Tissue Engineering Strategies for Articular Cartilage Repair

O’Connell

Duchi

Onofrillo

et al. 2022

Adv Healthcare Materials

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Human articular cartilage has a poor ability to self-repair, meaning small injuries often lead to osteoarthritis, a painful and debilitating condition which is a major contributor to the global burden of disease. Existing clinical strategies generally do not regenerate hyaline type cartilage, motivating research toward tissue engineering solutions. Prospective cartilage tissue engineering therapies can be placed into two broad categories: i) Ex situ strategies, where cartilage tissue constructs are engineered in the lab prior to implantation and ii) in situ strategies, where cells and/or a bioscaffold are delivered to the defect site to stimulate chondral repair directly. While commonalities exist between these two approaches, the core point of distinction-whether chondrogenesis primarily occurs "within" or "without" (outside) the body-can dictate many aspects of the treatment. This difference influences decisions around cell selection, the biomaterials formulation and the surgical implantation procedure, the processes of tissue integration and maturation, as well as, the prospects for regulatory clearance and clinical translation. Here, ex situ and in situ cartilage engineering strategies are compared: Highlighting their respective challenges, opportunities, and prospects on their translational pathways toward long term human cartilage repair.

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Rehabilitation, Restrictions, and Return to Sport After Cartilage Procedures

Abstract: The ability to return to sport (RTS) after articular cartilage injury is of vital importance to athletes. Discussing

Cited by 11 publications

References 44 publications

Outcomes and Return to Sport After Knee Osteochondral Allograft Transplant in Professional Athletes

Outcomes and Return to Sport After Knee Osteochondral Allograft Transplant in Professional Athletes

Osteochondral Allograft Transplant for Combined Medial and Lateral Patellar Cartilage Lesions: The Osteochondral Wide Lesion (OWL) Technique

Within or Without You? A Perspective Comparing In Situ and Ex Situ Tissue Engineering Strategies for Articular Cartilage Repair

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