Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects

Large post-traumatic osteochondral defects of the proximal tibia in young active patients can be challenging because total or partial arthroplasties are to be avoided. The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat these injuries. Al...

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Main Authors: Pablo E. Gelber, M.D., Ph.D., Juan I. Erquicia, M.D., Eduard Ramírez-Bermejo, M.D., Oscar Fariñas, M.D., Juan C. Monllau, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718300288
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author Pablo E. Gelber, M.D., Ph.D.
Juan I. Erquicia, M.D.
Eduard Ramírez-Bermejo, M.D.
Oscar Fariñas, M.D.
Juan C. Monllau, M.D., Ph.D.
author_facet Pablo E. Gelber, M.D., Ph.D.
Juan I. Erquicia, M.D.
Eduard Ramírez-Bermejo, M.D.
Oscar Fariñas, M.D.
Juan C. Monllau, M.D., Ph.D.
author_sort Pablo E. Gelber, M.D., Ph.D.
collection DOAJ
description Large post-traumatic osteochondral defects of the proximal tibia in young active patients can be challenging because total or partial arthroplasties are to be avoided. The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat these injuries. Although the use of a fresh allograft is not easily accessible in some places and carries considerable logistical limitations, it is an alternative that provides viable chondrocytes to the defect. The inclusion of the meniscus in the osteochondral graft improves the results but also makes the technique even more demanding. We present a thorough description of this allograft transplantation to make it as reproducible as possible.
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spelling doaj.art-b7707fc1df2941b79aabbcbe06588e092022-12-21T18:57:46ZengElsevierArthroscopy Techniques2212-62872018-06-0176e661e667Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau DefectsPablo E. Gelber, M.D., Ph.D.0Juan I. Erquicia, M.D.1Eduard Ramírez-Bermejo, M.D.2Oscar Fariñas, M.D.3Juan C. Monllau, M.D., Ph.D.4Department of Orthopaedic Surgery, Hospital de la Sta Creu i Sant Pau, Barcelona, Spain; Address correspondence to Pablo E. Gelber, M.D., Ph.D., Department of Orthopaedic Surgery, Hospital de la Sta Creu i Sant Pau, Universitat Autònoma de Barcelona, C/Sant Quintí 89, 08041 Barcelona, Spain.ICATME-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, SpainDepartment of Orthopaedic Surgery, Hospital de la Sta Creu i Sant Pau, Barcelona, SpainBarcelona Tissue Bank, Banc de Sang i Teixits, Barcelona, SpainICATME-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, Spain; Department of Orthopaedic Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, SpainLarge post-traumatic osteochondral defects of the proximal tibia in young active patients can be challenging because total or partial arthroplasties are to be avoided. The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat these injuries. Although the use of a fresh allograft is not easily accessible in some places and carries considerable logistical limitations, it is an alternative that provides viable chondrocytes to the defect. The inclusion of the meniscus in the osteochondral graft improves the results but also makes the technique even more demanding. We present a thorough description of this allograft transplantation to make it as reproducible as possible.http://www.sciencedirect.com/science/article/pii/S2212628718300288
spellingShingle Pablo E. Gelber, M.D., Ph.D.
Juan I. Erquicia, M.D.
Eduard Ramírez-Bermejo, M.D.
Oscar Fariñas, M.D.
Juan C. Monllau, M.D., Ph.D.
Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
Arthroscopy Techniques
title Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
title_full Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
title_fullStr Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
title_full_unstemmed Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
title_short Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects
title_sort fresh osteochondral and meniscus allografting for post traumatic tibial plateau defects
url http://www.sciencedirect.com/science/article/pii/S2212628718300288
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