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RODRIGUEZ-MERCHAN, E. Carlos, Encinas-Ullan, Carlos A., Liddle, Alexander D.. (1400). Osteochondral Allografts for Large Osteochondral Lesions of the Knee Joint: Indications, Surgical Techniques and Results. , 10(3), 245-251. doi: 10.22038/abjs.2021.51810.2555
E. Carlos RODRIGUEZ-MERCHAN; Carlos A. Encinas-Ullan; Alexander D. Liddle. "Osteochondral Allografts for Large Osteochondral Lesions of the Knee Joint: Indications, Surgical Techniques and Results". , 10, 3, 1400, 245-251. doi: 10.22038/abjs.2021.51810.2555
RODRIGUEZ-MERCHAN, E. Carlos, Encinas-Ullan, Carlos A., Liddle, Alexander D.. (1400). 'Osteochondral Allografts for Large Osteochondral Lesions of the Knee Joint: Indications, Surgical Techniques and Results', , 10(3), pp. 245-251. doi: 10.22038/abjs.2021.51810.2555
RODRIGUEZ-MERCHAN, E. Carlos, Encinas-Ullan, Carlos A., Liddle, Alexander D.. Osteochondral Allografts for Large Osteochondral Lesions of the Knee Joint: Indications, Surgical Techniques and Results. , 1400; 10(3): 245-251. doi: 10.22038/abjs.2021.51810.2555

Osteochondral Allografts for Large Osteochondral Lesions of the Knee Joint: Indications, Surgical Techniques and Results

The Archives of Bone and Joint Surgery
مقاله 3، دوره 10، شماره 3، خرداد 2022، صفحه 245-251    اصل مقاله (615.87 K)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2021.51810.2555
نویسندگان
E. Carlos RODRIGUEZ-MERCHAN* 1؛ Carlos A. Encinas-Ullan1؛ Alexander D. Liddle2
1Department of Orthopedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain.
2MSK Lab, Imperial College London, UK
چکیده
The main indications for osteochondral allografts (OCA) transplantation of the knee are the following: 
Symptomatic full-thickness cartilage lesions greater than 3 cm2
; deep lesions with subchondral damage; 
and revision techniques when a previous surgical procedure has failed. Dowel and shell t echniques are 
the two most commonly used for OCA transplantation. The dowel technique is appropriate in most 
cartilage lesions; however, geometrically irregular lesions may need the shell technique. Factors related 
to better outcomes after OCA transplantation are the following: unipolar lesions; patients younger than 
30 years; traumatic lesions; and when the treatment is carried out within 12 months from the onset of 
symptoms. A systematic review found a survivorship rate of 89% at 5 years. Other systematic review 
showed a mean failure rate of 25% at 12 years with a reoperation rate of 36%. Seventy -two per cent of 
the failures were conversion to total knee arthroplasty (TKA) (68%) or unicompartmental knee 
arthroplasty (UKA) (4%). Twenty-eight per cent of failures were graft removal, graft fixation, 
and graft revision. In this systematic review, patellofemoral lesions (83%) had a higher reoperation rate 
than lesions affecting the tibial plateau or the femoral condyles. Overall, OCA transplantation showed 
a successful result in 75% of patients at 12 years follow-up.
Level of evidence: III
کلیدواژه‌ها
Knee؛ large osteochondral lesions؛ osteochondral allograft transplantation؛ indications؛ surgical techniques؛ results
مراجع
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