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Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successful procedure in the older population, is controversial in younger patients, who are less satisfied and experience higher failure rates. Therefore, while traditionally not indicated for the treatment of OA, cartilage repair has become a focus of increased interest due to its potential to provide pain relief and alter the progression of degenerative disease, with the hope of delaying or obviating the need for joint replacement. The field of cartilage repair is seeing the rapid development of new technologies that promise greater ease of application, less demanding rehabilitation and better outcomes. Concurrent procedures such as meniscal transplantation and osteotomy, however, remain of crucial importance to provide a normalized biomechanical environment for these new technologies.

Level of evidence

Systematic review, Level II.

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Acknowledgments

The authors would like to acknowledge Giulio Maria Marcheggiani Muccioli, MD; Rizzoli Orthopaedic Institute, Bologna, Italy; and Aad Dhollander, Ghent University Hospital, Ghent, Belgium.

Author information

Authors and Affiliations

  1. Cartilage Repair Center, Department of Orthopedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    A. H. Gomoll

  2. Biomechanics Laboratory-III Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy

    G. Filardo, S. Zaffagnini & M. Marcacci

  3. Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium

    F. K. Almqvist, P. Verdonk & R. Verdonk

  4. Scripps Clinic, La Jolla, CA, USA

    W. D. Bugbee

  5. Department of Orthopaedic Surgery, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia

    M. Jelic

  6. Hospital de la StaCreuI Sant Pau, Universitat Autonoma de Barcelona (UAB), Barcelona, Spain

    J. C. Monllau

  7. Clinica Valle Giulia, Rome, Italy

    G. Puddu

  8. Steadman Philippon Research Institute, Vail, CO, USA

    W. G. Rodkey

Authors
  1. A. H. Gomoll
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  2. G. Filardo
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  3. F. K. Almqvist
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  4. W. D. Bugbee
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  5. M. Jelic
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  6. J. C. Monllau
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  7. G. Puddu
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  8. W. G. Rodkey
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  9. P. Verdonk
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  10. R. Verdonk
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  11. S. Zaffagnini
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  12. M. Marcacci
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Corresponding author

Correspondence to A. H. Gomoll.

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Gomoll, A.H., Filardo, G., Almqvist, F.K. et al. Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures. Knee Surg Sports Traumatol Arthrosc 20, 468–486 (2012). https://doi.org/10.1007/s00167-011-1714-7

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  • DOI: https://doi.org/10.1007/s00167-011-1714-7

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