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Surgical Techniques in Cartilage Repair Surgery: Osteochondral Autograft Transfer (OATS, Mosaicplasty)

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Techniques in Cartilage Repair Surgery

Abstract

Various surgical methods exist for the treatment of focal chondral and osteochondral defects of weight-bearing articular surfaces. Traditional resurfacing techniques provide reparative fibrocartilage coverage of the lesion with poor biomechanical properties and suboptimal clinical outcome. Recent advances in treatment options including osteochondral allografts aim to provide hyaline or hyaline-like repair for articular defects. Although previous publications on autogenous osteochondral transplantation reported long-term hyaline cartilage survival on the transplanted osteochondral block [3, 6, 23, 26], clinical use of single-block osteochondral transfer had been restricted by limited donor-site availability. Also, use of large grafts can cause incongruity at the recipient site, which permanently alters the biomechanics of the joint [5, 7, 9–12]. Our preclinical animal studies performed between 1991 and 1992 showed that the use of small-sized multiple cylindrical grafts, rather than a single large block graft, allows more tissue to be transplanted while preserving donor-site integrity and the mosaic-like implanting fashion permits progressive contouring of the new surface [13, 15].

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Uzsoki Hospital, Semmelweis University, 1145, Budapest, Uzsoki u. 29, Hungary

    László Hangody MD, PhD, DSc & Ágnes Berta MD, MSc, M Res

Authors
  1. László Hangody MD, PhD, DSc
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  2. Ágnes Berta MD, MSc, M Res
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Corresponding author

Correspondence to László Hangody MD, PhD, DSc .

Editor information

Editors and Affiliations

  1. Department of Minimally Invasive Surgery, Faculty of Health and Social Sciences, Canterbury Christ Church University, Chatham Maritime, Kent, UK

    Asode Ananthram Shetty MD, PhD, MCh, FRCS Ed., FRCS Eng., FRCS Orth

  2. Faculty of Stem Cell Research and Regenerative Medicine, NITTE University, Mangalore, India

    Asode Ananthram Shetty MD, PhD, MCh, FRCS Ed., FRCS Eng., FRCS Orth  & Seok-Jung Kim MD, PhD, FRCS  & 

  3. Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital College of Medicine The Catholic University of Korea, Gyeonggi-do, Korea, Republic of, South Korea

    Seok-Jung Kim MD, PhD, FRCS

  4. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura MD, PhD

  5. Center for Advanced Medical Engineering and Informatics, Osaka University, Suita, Osaka, Japan

    Norimasa Nakamura MD, PhD

  6. Cartilage Research Unit Department of Orthopaedic, University of Gothenburg, Kungsbacka, Sweden

    Mats Brittberg MD, PhD

  7. Region Halland Orthopaedics Kungsbacka Hospital, Kungsbacka, Sweden

    Mats Brittberg MD, PhD

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© 2014 ESSKA

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Hangody, L., Berta, Á. (2014). Surgical Techniques in Cartilage Repair Surgery: Osteochondral Autograft Transfer (OATS, Mosaicplasty). In: Shetty, A.A., Kim, SJ., Nakamura, N., Brittberg, M. (eds) Techniques in Cartilage Repair Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41921-8_11

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  • DOI: https://doi.org/10.1007/978-3-642-41921-8_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-41920-1

  • Online ISBN: 978-3-642-41921-8

  • eBook Packages: MedicineMedicine (R0)

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