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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 3

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Ortho-tips 2023; 19 (3)

Prognostic factors for survival of fresh osteochondral allograft in knee chondral lesions

Vilchez-Cavazos F, Rivera-Zarazua S, Erosa-Villarreal RA, Acosta-Olivo C, Peña-Martínez VM, Arrambide-Garza FJ

Language: Spanish
References: 43
Page: 152-159
PDF size: 224.01 Kb.


ABSTRACT

Knee osteochondral defects cause disability and limitation in daily activities. The therapeutic choice varies according to the patient's characteristics and the qualities of the osteochondral defect. Biological alternatives have been established as the preferred choice due to satisfactory outcomes in young individuals in terms of survival and functionality. Fresh osteochondral allograft (FOCA), involves the transfer of mature hyaline cartilage and subchondral bone from the knee of a genetically non-identical donor of the same species. It is an advantageous option for large-thickness lesions in young individuals. It allows for early weight-bearing and faster rehabilitation. One of its main objectives is to postpone or ideally eliminate the need for arthroplasty. Knowledge continues to grow with high long-term satisfaction and survival rates. However, due to limitations in availability and standardization of preservation and processing methods, efforts should focus on identifying patient risk factors to increase graft survival. The purpose of this review is to describe the surgical technique, review prognostic factors for graft survival, and functional outcomes of FOCA for knee chondral lesions.


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