A comparison of open versus arthroscopic harvesting of osteochondral autografts
Abstract Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-o...
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Published in | The knee Vol. 16; no. 6; pp. 458 - 462 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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Elsevier B.V
01.12.2009
Elsevier Limited |
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Abstract | Abstract Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences ( p > 0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74°. There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. |
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AbstractList | Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences (p>0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74 degrees . There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences ( p > 0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74°. There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences (p>0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74 degrees . There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. Abstract Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences ( p > 0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74°. There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented perpendicular to the long axis of the graft is ideal because it can both restore the cartilage tidemark and minimize articular step-off at the recipient site. This study determines if osteochondral harvest technique (arthroscopic versus mini-open) or donor site location affects suitable graft harvest. One hundred and twenty eight osteochondral grafts were harvested in 16 cadaver knees utilizing a 7 mm OATS chisel from four donor sites: lateral supracondylar ridge, lateral femoral condyle, lateral intercondylar notch and medial femoral condyle. Mini-open and arthroscopic harvesting techniques were equally employed. Radiographic methods were used to analyze graft perpendicularity. Statistical analysis comparing graft suitability based on technique and donor site location was performed. There were no statistically significant differences (p >0.05) in graft suitability regardless of the technique used or donor site location. 69% of arthroscopic and 56% of mini-open graft harvest were considered suitable, possessing a cartilage cap and graft axis angle that would create less than 1 mm of articular incongruity. Incongruity results when the angle between the subchondral bone plug long axis and cartilage interface is greater than 74°. There is no difference in the quality of osteochondral grafts harvested from the knee regardless of technique or donor site used. Osteochondral graft diameter should be kept at or less than 7 mm because of the high percentage of unacceptable grafts with increasing chisel sizes. |
Author | McGuigan, Francis X Keeling, John J Gwinn, David E |
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CitedBy_id | crossref_primary_10_1016_j_otsm_2020_150781 crossref_primary_10_1016_j_otsr_2021_103102 crossref_primary_10_1007_s00402_013_1711_z crossref_primary_10_1016_j_rcot_2021_10_004 crossref_primary_10_1016_j_otsr_2011_04_001 crossref_primary_10_1007_s00590_023_03731_7 crossref_primary_10_1016_j_arthro_2012_06_014 crossref_primary_10_1016_j_biomaterials_2010_07_110 crossref_primary_10_1016_j_rcot_2011_04_006 crossref_primary_10_1016_j_orthtr_2009_07_007 crossref_primary_10_15825_1995_1191_2016_4_102_122 |
Cites_doi | 10.1177/107110079701801005 10.1177/03635465000280011601 10.1007/s00264-005-0068-5 10.1053/jars.2001.19966 10.1016/S0278-5919(05)70310-0 10.1177/0363546505278299 10.1097/00003086-199405000-00040 10.2106/JBJS.D.02086 10.2106/00004623-200300002-00004 10.2106/00004623-200300002-00003 10.1053/jars.2001.24705 10.1097/00003086-200208000-00020 10.1016/j.arthro.2004.12.003 10.1016/S1067-2516(02)80030-8 10.1177/03635465980260040201 10.1016/S0749-8063(04)00607-3 10.1002/jor.1100090412 10.1016/S0749-8063(05)80428-1 10.1016/j.arthro.2004.01.012 10.2106/00004623-199501000-00009 10.1016/S0278-5919(05)70129-0 |
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References | Kish, Modis, Hangody (bib19) 1999; 18 Hangody, Kish, Karpati, Szerb, Eberhardt (bib26) 1997; 18 Buckwalter, Mankin (bib1) 1998; 47 Matsusue, Yamamuro, Hama (bib20) 1993; 9 Simonian, Sussmann, Wickiewicz, Paletta, Warren (bib16) 1998; 26 Hangody, Fules (bib7) 2003; 85A Duchow, Hess, Kohn (bib24) 2000; 28 Choung, Christensen (bib25) 2002; 41 Evans, Miniaci, Hurtig (bib11) 2004; 20 Ritsila, Santavirta, Alhopuro, Poussa, Jaroma, Rubak (bib6) 1994; 302 Brown, Pope, Hale, Buckwalter, Brand (bib14) 1991; 9 Jakob, Franz, Gautier, Mainil-Varlet (bib15) 2002; 401 Marcacci, Kon, Zaffagnini, Iacono, Neri, Vascellari (bib9) 2005; 21 Diduch, Chhabra, Blessey, Miller (bib17) 2003; 16 Makino, Fujioka, Yoshiya, Kokubu, Fujita, Makino (bib21) 2002; 48 Makino, Fujioka, Kurosaka, Matsui, Yoshihara, Tsunoda (bib22) 2001; 17 Magnuson (bib3) 1974; 101 Outerbridge, Outerbridge, Outerbridge (bib4) 1995; 77A Oztark, Ozdemir, Ozkan (bib10) 2006; 30 Hangody, Kish, Karpati (bib18) 1998; 5 Huntley, Bush, McBirnie, Simpson, Hall (bib12) 2005; 87A Laprade, Botker (bib13) 2004; 20 Pearce, Hurtig, Clarnette, Kaira, Cowan, Miniaci (bib23) 2001; 17 Alleyne, Galloway (bib2) 2001; 20 Peterson, Minas, Brittberg, Lindahl (bib5) 2003; 85A Kreuz, Steniwachs, Erggelet, Lahm, Henle, Niemeyer (bib8) 2006; 34 Diduch (10.1016/j.knee.2009.02.010_bib17) 2003; 16 Matsusue (10.1016/j.knee.2009.02.010_bib20) 1993; 9 Hangody (10.1016/j.knee.2009.02.010_bib18) 1998; 5 Hangody (10.1016/j.knee.2009.02.010_bib26) 1997; 18 Laprade (10.1016/j.knee.2009.02.010_bib13) 2004; 20 Oztark (10.1016/j.knee.2009.02.010_bib10) 2006; 30 Pearce (10.1016/j.knee.2009.02.010_bib23) 2001; 17 Ritsila (10.1016/j.knee.2009.02.010_bib6) 1994; 302 Hangody (10.1016/j.knee.2009.02.010_bib7) 2003; 85A Magnuson (10.1016/j.knee.2009.02.010_bib3) 1974; 101 Brown (10.1016/j.knee.2009.02.010_bib14) 1991; 9 Jakob (10.1016/j.knee.2009.02.010_bib15) 2002; 401 Kish (10.1016/j.knee.2009.02.010_bib19) 1999; 18 Choung (10.1016/j.knee.2009.02.010_bib25) 2002; 41 Simonian (10.1016/j.knee.2009.02.010_bib16) 1998; 26 Alleyne (10.1016/j.knee.2009.02.010_bib2) 2001; 20 Buckwalter (10.1016/j.knee.2009.02.010_bib1) 1998; 47 Outerbridge (10.1016/j.knee.2009.02.010_bib4) 1995; 77A Makino (10.1016/j.knee.2009.02.010_bib22) 2001; 17 Marcacci (10.1016/j.knee.2009.02.010_bib9) 2005; 21 Duchow (10.1016/j.knee.2009.02.010_bib24) 2000; 28 Kreuz (10.1016/j.knee.2009.02.010_bib8) 2006; 34 Peterson (10.1016/j.knee.2009.02.010_bib5) 2003; 85A Huntley (10.1016/j.knee.2009.02.010_bib12) 2005; 87A Makino (10.1016/j.knee.2009.02.010_bib21) 2002; 48 Evans (10.1016/j.knee.2009.02.010_bib11) 2004; 20 |
References_xml | – volume: 20 start-page: 343 year: 2001 end-page: 364 ident: bib2 article-title: Management of osteochondral injuries of the knee publication-title: Clin Sports Med contributor: fullname: Galloway – volume: 17 start-page: 747 year: 2001 end-page: 751 ident: bib22 article-title: Histologic analysis of the implanted cartilage in an exact-fit osteochondral transplantation model publication-title: Arthroscopy contributor: fullname: Tsunoda – volume: 85A start-page: 17 year: 2003 end-page: 24 ident: bib5 article-title: Treatment of osteochondritis dissecans of the knee with autologous chondrocyte transplantation: results at two to ten years publication-title: J Bone Jt Surg [Am] contributor: fullname: Lindahl – volume: 30 start-page: 200 year: 2006 end-page: 204 ident: bib10 article-title: Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2- to 7-year results publication-title: Int Orthop contributor: fullname: Ozkan – volume: 17 start-page: 50 year: 2001 end-page: 55 ident: bib23 article-title: An investigation of 2 techniques for optimizing joint surface congruency using multiple cylindrical osteochondral autografts publication-title: Arthroscopy contributor: fullname: Miniaci – volume: 9 start-page: 318 year: 1993 end-page: 321 ident: bib20 article-title: Arthroscopic multiple osteochondral transplantation to the chondral defect in the knee associated with anterior cruciate ligament disruption publication-title: Arthroscopy contributor: fullname: Hama – volume: 20 start-page: 69 year: 2004 end-page: 73 ident: bib13 article-title: Donor-site morbidity after osteochondral autograft transfer procedures publication-title: Arthroscopy contributor: fullname: Botker – volume: 87A start-page: 351 year: 2005 end-page: 360 ident: bib12 article-title: Chondrocyte death associated with human femoral osteochondral harvest as performed for mosaicplasty publication-title: J Bone Jt Surg [Am] contributor: fullname: Hall – volume: 21 start-page: 462 year: 2005 end-page: 470 ident: bib9 article-title: Multiple osteochondral arthroscopic grafting (mosaicplasty) for cartilage defects of the knee: prospective study results at 2-year follow-up publication-title: Arthroscopy contributor: fullname: Vascellari – volume: 48 start-page: 97 year: 2002 end-page: 104 ident: bib21 article-title: The effect of the small and unstable autologous osteochondral graft on repairing the full-thickness large articular cartilage defect in a rabbit model publication-title: Kobe J Med Sci contributor: fullname: Makino – volume: 77A start-page: 65 year: 1995 end-page: 72 ident: bib4 article-title: The use of a lateral patellar autologous graft for the repair of a large osteochondral defect in the knee publication-title: J. Bone Jt Surg [Am] contributor: fullname: Outerbridge – volume: 302 start-page: 259 year: 1994 end-page: 265 ident: bib6 article-title: Periosteal and perichondral grafting in reconstructive surgery publication-title: Clin Orthop contributor: fullname: Rubak – volume: 20 start-page: 306 year: 2004 end-page: 310 ident: bib11 article-title: Manual punch versus power harvesting of osteochondral graft publication-title: Arthroscopy contributor: fullname: Hurtig – volume: 41 start-page: 65 year: 2002 end-page: 75 ident: bib25 article-title: Mosaicplasty of the talus: a joint contact analysis in a cadaver model publication-title: J Foot Ankle Surg contributor: fullname: Christensen – volume: 28 start-page: 24 year: 2000 end-page: 30 ident: bib24 article-title: Primary stability of press-fit-implanted osteochondral grafts. Influence of graft size, repeated insertion, and harvesting technique publication-title: Am J Sports Med contributor: fullname: Kohn – volume: 85A start-page: 25 year: 2003 end-page: 32 ident: bib7 article-title: Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: ten years of experimental and clinical experience publication-title: J Bone Jt Surg [Am] contributor: fullname: Fules – volume: 101 start-page: 4 year: 1974 end-page: 12 ident: bib3 article-title: The classic: joint debridement: surgical treatment of degenerative arthritis publication-title: Clin Orthop contributor: fullname: Magnuson – volume: 18 start-page: 45 year: 1999 end-page: 66 ident: bib19 article-title: Osteochondral mosaicplasty for the treatment of focal chondral and osteochondral lesions of the knee and talus in the athlete. Rationale, indications, techniques, and results publication-title: Clin Sports Med contributor: fullname: Hangody – volume: 26 start-page: 491 year: 1998 end-page: 494 ident: bib16 article-title: Contact pressures at osteochondral donor sites in the knee publication-title: Am J Sports Med contributor: fullname: Warren – volume: 34 start-page: 55 year: 2006 end-page: 63 ident: bib8 article-title: Mosaicplasty with autogenous talar autograft for osteochondral lesions of the talus after failed primary arthroscopic management: a prospective study with a 4-year follow up publication-title: Am J Sports Med contributor: fullname: Niemeyer – volume: 16 start-page: 17 year: 2003 end-page: 20 ident: bib17 article-title: Osteochondral autograft plug transfer: achieving perpendicurality publication-title: J Knee Surg contributor: fullname: Miller – volume: 401 start-page: 170 year: 2002 end-page: 184 ident: bib15 article-title: Autologous osteochondral grafting in the knee: indication, results, and reflections publication-title: Clin Orthop contributor: fullname: Mainil-Varlet – volume: 47 start-page: 487 year: 1998 end-page: 504 ident: bib1 article-title: Articular cartilage: degeneration and osteoarthritis, repair, regeneration, and transplantation publication-title: Instr Course Lect contributor: fullname: Mankin – volume: 9 start-page: 559 year: 1991 end-page: 567 ident: bib14 article-title: Effects of osteochondral defect size on cartilage contact stress publication-title: J Orthop Res contributor: fullname: Brand – volume: 5 start-page: 3 year: 1998 end-page: 9 ident: bib18 article-title: Arthroscopic autogenous osteochondral mosaicplasty—a multicentric, comparative, prospective study publication-title: Index Traumat Sport contributor: fullname: Karpati – volume: 18 start-page: 628 year: 1997 end-page: 634 ident: bib26 article-title: Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty technique—a preliminary report publication-title: Foot Ankle Int contributor: fullname: Eberhardt – volume: 18 start-page: 628 year: 1997 ident: 10.1016/j.knee.2009.02.010_bib26 article-title: Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty technique—a preliminary report publication-title: Foot Ankle Int doi: 10.1177/107110079701801005 contributor: fullname: Hangody – volume: 28 start-page: 24 year: 2000 ident: 10.1016/j.knee.2009.02.010_bib24 article-title: Primary stability of press-fit-implanted osteochondral grafts. Influence of graft size, repeated insertion, and harvesting technique publication-title: Am J Sports Med doi: 10.1177/03635465000280011601 contributor: fullname: Duchow – volume: 30 start-page: 200 year: 2006 ident: 10.1016/j.knee.2009.02.010_bib10 article-title: Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2- to 7-year results publication-title: Int Orthop doi: 10.1007/s00264-005-0068-5 contributor: fullname: Oztark – volume: 17 start-page: 50 year: 2001 ident: 10.1016/j.knee.2009.02.010_bib23 article-title: An investigation of 2 techniques for optimizing joint surface congruency using multiple cylindrical osteochondral autografts publication-title: Arthroscopy doi: 10.1053/jars.2001.19966 contributor: fullname: Pearce – volume: 20 start-page: 343 year: 2001 ident: 10.1016/j.knee.2009.02.010_bib2 article-title: Management of osteochondral injuries of the knee publication-title: Clin Sports Med doi: 10.1016/S0278-5919(05)70310-0 contributor: fullname: Alleyne – volume: 34 start-page: 55 year: 2006 ident: 10.1016/j.knee.2009.02.010_bib8 article-title: Mosaicplasty with autogenous talar autograft for osteochondral lesions of the talus after failed primary arthroscopic management: a prospective study with a 4-year follow up publication-title: Am J Sports Med doi: 10.1177/0363546505278299 contributor: fullname: Kreuz – volume: 302 start-page: 259 year: 1994 ident: 10.1016/j.knee.2009.02.010_bib6 article-title: Periosteal and perichondral grafting in reconstructive surgery publication-title: Clin Orthop doi: 10.1097/00003086-199405000-00040 contributor: fullname: Ritsila – volume: 87A start-page: 351 year: 2005 ident: 10.1016/j.knee.2009.02.010_bib12 article-title: Chondrocyte death associated with human femoral osteochondral harvest as performed for mosaicplasty publication-title: J Bone Jt Surg [Am] doi: 10.2106/JBJS.D.02086 contributor: fullname: Huntley – volume: 5 start-page: 3 year: 1998 ident: 10.1016/j.knee.2009.02.010_bib18 article-title: Arthroscopic autogenous osteochondral mosaicplasty—a multicentric, comparative, prospective study publication-title: Index Traumat Sport contributor: fullname: Hangody – volume: 85A start-page: 25 issue: Suppl 2 year: 2003 ident: 10.1016/j.knee.2009.02.010_bib7 article-title: Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: ten years of experimental and clinical experience publication-title: J Bone Jt Surg [Am] doi: 10.2106/00004623-200300002-00004 contributor: fullname: Hangody – volume: 85A start-page: 17 issue: Suppl 2 year: 2003 ident: 10.1016/j.knee.2009.02.010_bib5 article-title: Treatment of osteochondritis dissecans of the knee with autologous chondrocyte transplantation: results at two to ten years publication-title: J Bone Jt Surg [Am] doi: 10.2106/00004623-200300002-00003 contributor: fullname: Peterson – volume: 17 start-page: 747 year: 2001 ident: 10.1016/j.knee.2009.02.010_bib22 article-title: Histologic analysis of the implanted cartilage in an exact-fit osteochondral transplantation model publication-title: Arthroscopy doi: 10.1053/jars.2001.24705 contributor: fullname: Makino – volume: 401 start-page: 170 year: 2002 ident: 10.1016/j.knee.2009.02.010_bib15 article-title: Autologous osteochondral grafting in the knee: indication, results, and reflections publication-title: Clin Orthop doi: 10.1097/00003086-200208000-00020 contributor: fullname: Jakob – volume: 21 start-page: 462 year: 2005 ident: 10.1016/j.knee.2009.02.010_bib9 article-title: Multiple osteochondral arthroscopic grafting (mosaicplasty) for cartilage defects of the knee: prospective study results at 2-year follow-up publication-title: Arthroscopy doi: 10.1016/j.arthro.2004.12.003 contributor: fullname: Marcacci – volume: 41 start-page: 65 year: 2002 ident: 10.1016/j.knee.2009.02.010_bib25 article-title: Mosaicplasty of the talus: a joint contact analysis in a cadaver model publication-title: J Foot Ankle Surg doi: 10.1016/S1067-2516(02)80030-8 contributor: fullname: Choung – volume: 26 start-page: 491 year: 1998 ident: 10.1016/j.knee.2009.02.010_bib16 article-title: Contact pressures at osteochondral donor sites in the knee publication-title: Am J Sports Med doi: 10.1177/03635465980260040201 contributor: fullname: Simonian – volume: 20 start-page: 69 year: 2004 ident: 10.1016/j.knee.2009.02.010_bib13 article-title: Donor-site morbidity after osteochondral autograft transfer procedures publication-title: Arthroscopy doi: 10.1016/S0749-8063(04)00607-3 contributor: fullname: Laprade – volume: 9 start-page: 559 year: 1991 ident: 10.1016/j.knee.2009.02.010_bib14 article-title: Effects of osteochondral defect size on cartilage contact stress publication-title: J Orthop Res doi: 10.1002/jor.1100090412 contributor: fullname: Brown – volume: 48 start-page: 97 year: 2002 ident: 10.1016/j.knee.2009.02.010_bib21 article-title: The effect of the small and unstable autologous osteochondral graft on repairing the full-thickness large articular cartilage defect in a rabbit model publication-title: Kobe J Med Sci contributor: fullname: Makino – volume: 101 start-page: 4 year: 1974 ident: 10.1016/j.knee.2009.02.010_bib3 article-title: The classic: joint debridement: surgical treatment of degenerative arthritis publication-title: Clin Orthop contributor: fullname: Magnuson – volume: 9 start-page: 318 year: 1993 ident: 10.1016/j.knee.2009.02.010_bib20 article-title: Arthroscopic multiple osteochondral transplantation to the chondral defect in the knee associated with anterior cruciate ligament disruption publication-title: Arthroscopy doi: 10.1016/S0749-8063(05)80428-1 contributor: fullname: Matsusue – volume: 20 start-page: 306 year: 2004 ident: 10.1016/j.knee.2009.02.010_bib11 article-title: Manual punch versus power harvesting of osteochondral graft publication-title: Arthroscopy doi: 10.1016/j.arthro.2004.01.012 contributor: fullname: Evans – volume: 77A start-page: 65 year: 1995 ident: 10.1016/j.knee.2009.02.010_bib4 article-title: The use of a lateral patellar autologous graft for the repair of a large osteochondral defect in the knee publication-title: J. Bone Jt Surg [Am] doi: 10.2106/00004623-199501000-00009 contributor: fullname: Outerbridge – volume: 47 start-page: 487 year: 1998 ident: 10.1016/j.knee.2009.02.010_bib1 article-title: Articular cartilage: degeneration and osteoarthritis, repair, regeneration, and transplantation publication-title: Instr Course Lect contributor: fullname: Buckwalter – volume: 16 start-page: 17 year: 2003 ident: 10.1016/j.knee.2009.02.010_bib17 article-title: Osteochondral autograft plug transfer: achieving perpendicurality publication-title: J Knee Surg contributor: fullname: Diduch – volume: 18 start-page: 45 year: 1999 ident: 10.1016/j.knee.2009.02.010_bib19 article-title: Osteochondral mosaicplasty for the treatment of focal chondral and osteochondral lesions of the knee and talus in the athlete. Rationale, indications, techniques, and results publication-title: Clin Sports Med doi: 10.1016/S0278-5919(05)70129-0 contributor: fullname: Kish |
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Snippet | Abstract Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is... Osteochondral autograft transfer is a technique for treatment of traumatic and degenerative cartilage lesions. A graft in which the cartilage cap is oriented... |
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SubjectTerms | Arthroplasty, Subchondral - methods Arthroscopy - methods Cadaver Cartilage Cartilage - transplantation Cartilage, Articular - surgery Humans Knee Methods Mosaicplasty OATS Orthopedics Osteochondral autograft transfer Skin & tissue grafts Success Tissue and Organ Harvesting - methods |
Title | A comparison of open versus arthroscopic harvesting of osteochondral autografts |
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