Download PDF
J Knee Surg 2011; 24(02): 101-108
DOI: 10.1055/s-0031-1280876
Special Focus Section

Allograft OATS: Decision-Making and Operative Steps

CPT Kelly Fitzpatrick
1   Tripler Army Sports Medicine, Tripler Army Medical Center, Tripler AMC, Honolulu, Hawaii
,
Lt Col John M Tokish
1   Tripler Army Sports Medicine, Tripler Army Medical Center, Tripler AMC, Honolulu, Hawaii
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

Articular cartilage injuries present a challenge in terms of definitive treatment in an active population. There are many treatment options available, one of which being allograft osteochondral articular transplant (OAT), in patients with larger chondral injuries. When deciding to perform this procedure, one must be aware of preoperative and intraoperative findings that may change the treatment of a patient with a significant chondral injury. This article will discuss our preferred method of performing allograft OATS along with perioperative management and considerations of these patients.

Keywords

Chondral injuries - osteochondral grafting


Publication History

Publication Date:
07 June 2011 (online)

© 2011. Thieme Medical Publishers

Thieme Medical Publishers

 

  • REFERENCES

  • 1 Heir S, Nerhus TK, Røtterud JH. et al. Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med 2010; 38 (02) 231-237
  • 2 Gudas R, Kalesinskas RJ, Kimtys V. et al. A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy 2005; 21 (09) 1066-1075
  • 3 Gross AE, Kim W, Las Heras F, Backstein D, Safir O, Pritzker KP. Fresh osteochondral allografts for posttraumatic knee defects: long-term followup. Clin Orthop Relat Res 2008; 466 (08) 1863-1870
  • 4 Emmerson BC, Görtz S, Jamali AA, Chung C, Amiel D, Bugbee WD. Fresh osteochondral allografting in the treatment of osteochondritis dissecans of the femoral condyle. Am J Sports Med 2007; 35 (06) 907-914
  • 5 Williams SK, Amiel D, Ball ST. et al. Prolonged storage effects on the articular cartilage of fresh human osteochondral allografts. J Bone Joint Surg Am 2003; 85-A (11) 2111-2120
  • 6 Gross AE, Shasha N, Aubin P. Long-term followup of the use of fresh osteochondral allografts for posttraumatic knee defects. Clin Orthop Relat Res 2005; 435 (435) 79-87
  • 7 Patil S, Butcher W, D'Lima DD, Steklov N, Bugbee WD, Hoenecke HR. Effect of osteochondral graft insertion forces on chondrocyte viability. Am J Sports Med 2008; 36 (09) 1726-1732