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Osteochondral Autograft Transfer

  • Yen Hsun Chen
  • Yonah Heller
  • James Mullen
  • Nicholas A. Sgaglione
Chapter

Abstract

Osteochondral autograft transfer (OAT) is indicated for treatment of symptomatic osteochondral defects in the size range of 1–4 cm2. OAT consists of transferring osteochondral autografts from areas with intact articular cartilage subject to less mechanical loads to more mechanically loaded areas with focal, symptomatic osteochondral defects. A major advantage of this technique is the reconstitution of the native osteochondral architecture comprised of a hyaline cartilage surface with underlying subchondral bone. Limitations include donor site morbidity that limits treatment of larger-sized defects. Successful clinical outcomes have been reported with significant improvements in pain and function scores. In this chapter, the current state of the art of the OAT technique will be reviewed.

Keywords

Osteochondral autograft transfer OAT Mosaicplasty Osteochondral defect Articular cartilage Hyaline cartilage Cartilage repair Osteochondral autograft plug 

Abbreviations

ACI

Autologous chondrocyte implantation

CPM

Continuous passive motion

dGEMRIC

3D delayed gadolinium-enhanced MRI of cartilage

FSE

Fast spin-echo

GRASS-IDEAL

Gradient refocused acquisition in the steady-state and iterative decomposition of water and fat with echo asymmetry and least-squares estimation

HSS

Hospital for Special Surgery

ICRS

International Cartilage Repair Society

IKDC

International Knee Documentation Committee

KOOS

Knee Injury and Osteoarthritis Outcome Score

MOCART

Magnetic resonance observation of cartilage repair tissue

MRI

Magnetic resonance imaging

OAT

Osteochondral autograft transfer

OCD

Osteochondritis dissecans

SSFP

Isotropic three-dimensional steady-state free procession

VTE

Venous thromboembolism

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Yen Hsun Chen
    • 1
  • Yonah Heller
    • 1
  • James Mullen
    • 1
  • Nicholas A. Sgaglione
    • 1
    • 2
  1. 1.Department of Orthopedic SurgeryLong Island Jewish Medical Center/Northwell HealthNew Hyde ParkUSA
  2. 2.Department of Orthopedic SurgeryNorthwell Health SystemGreat NeckUSA

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