Fresh Osteochondral Allograft Transplantation for Fractures of the Knee

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dc.citation.issue2
dc.citation.volume8
dc.contributor.authorGracitelli, Guilherme C. [UNIFESP]
dc.contributor.authorPassarelli Tirico, Luis Eduardo
dc.contributor.authorMcCauley, Julie C.
dc.contributor.authorPulido, Pamela A.
dc.contributor.authorBugbee, William D.
dc.coverageThousand Oaks
dc.date.accessioned2020-07-17T14:02:33Z
dc.date.available2020-07-17T14:02:33Z
dc.date.issued2017
dc.description.abstractObjective The purpose of this study was to evaluate functional outcomes and allograft survivorship among patients with knee fracture who underwent fresh osteochondral allograft (OCA) transplantation as a salvage treatment option. Design Retrospective analysis of prospectively collected data. Setting Department of Orthopaedic Surgery at one hospital. Patients Fresh OCAs were implanted for osteochondral lesions after knee fracture in 24 males and 15 females with an average age of 34 years. Twenty-nine lesions (74%) were tibial plateau fractures, 6 (15%) were femoral condyle fractures, and 4 (10%) were patella fractures. Main Outcome Measurements Clinical evaluation included modified Merle d'Aubigne-Postel (18-point), International Knee Documentation Committee, and Knee Society function scores, and patient satisfaction. Failure of OCA was defined as revision OCA or conversion to total knee arthroplasty (TKA). Results Nineteen of 39 knees (49%) had further surgery. Ten knees (26%) were considered OCA failures (3 OCA revisions, 6 TKA, and 1 patellectomy). Survivorship of the OCA was 82.6% at 5 years and 69.6% at 10 years. Among the 29 knees (74%) that had the OCA still in situ, median follow-up was 6.6 years. Pain and function improved from preoperative to latest follow-upen
dc.description.abstract83% of patients reported satisfaction with OCA results. Conclusion OCA transplantation is a useful salvage treatment option for osteochondral lesions caused by knee fracture. Although the reoperation rate was high, successful outcome was associated with significant clinical improvement.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Orthopaed Surg, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Dept Orthopaed Surg, Fac Med, Sao Paulo, Brazil
dc.description.affiliationScripps Clin, Shiley Ctr Orthopaed Res & Educ, La Jolla, CA 92037 USA
dc.description.affiliationScripps Clin, Div Orthopaed Surg, 10666 North Torrey Pines Rd,MS 116, La Jolla, CA 92037 USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Orthopaed Surg, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Sao Paulo, Dept Orthopaed Surg, Fac Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent155-161
dc.identifierhttp://dx.doi.org/10.1177/1947603516657640
dc.identifier.citationCartilage. Thousand Oaks, v. 8, n. 2, p. 155-161, 2017.
dc.identifier.doi10.1177/1947603516657640
dc.identifier.issn1947-6035
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54856
dc.identifier.wosWOS:000397452100008
dc.language.isoeng
dc.publisherSage Publications Inc
dc.relation.ispartofCartilage
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectosteochondral allograft transplanten
dc.subjectknee fractureen
dc.subjectfunctional outcomesen
dc.subjectsurvivorshipen
dc.titleFresh Osteochondral Allograft Transplantation for Fractures of the Kneeen
dc.typeinfo:eu-repo/semantics/article
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