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Published in: Current Reviews in Musculoskeletal Medicine 4/2015

01-12-2015 | Cartilage Repair Techniques in the Knee (A Dhawan, Section Editor)

Osteochondral autografts

Authors: Shantanu Patil, Sachin R. Tapasvi

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2015

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Abstract

The healing potential for articular cartilage lesions is limited due to many physiological, local and mechanical factors. Spontaneous healing of partial- and full-thickness lesions is slow, and subsequent tissue response is usually not durable. In symptomatic, and high-demand, patients, a definitive treatment modality must be offered which allows for a sustained recovery with minimal debilitation. Injuries, which damage the subchondral bone, heal with the formation of fibrocartilage. This tissue fails long-term survival because of its inability to withstand the variable cyclic loads and compression forces that it is subjected to. While regeneration of the damaged cartilage by an entirely new articular surface is a goal beyond current available techniques, repair of the osteochondral defects with normal hyaline cartilage is possible by various options. Osteochondral defects that are larger then 2 cm are best treated by osteochondral autograft technique. The short-term outcomes of the present series show excellent results.
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Metadata
Title
Osteochondral autografts
Authors
Shantanu Patil
Sachin R. Tapasvi
Publication date
01-12-2015
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 4/2015
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-015-9299-2

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