2024 AANA/ISAKOS Specialty Day All-Access Pass-Cartilage Debate Speaker #1: Fresh Osteochondral Allograft

Cartilage Debate Speaker #1: Fresh Osteochondral Allograft

Video Transcription

Video Summary

The speaker argues in favor of using osteochondral allograft for surface-based lesions over other options like MACE. They highlight the benefits of articular cartilage, emphasizing its importance in cushioning and restoring contact pressures. Data presented shows high survivorship rates at 5 and 15 years for osteochondral allografts, especially in trauma or osteochondritis dissecans cases. The success rate is higher with smaller grafts and younger age groups. Correct placement is crucial for optimal outcomes, and revisions are easier compared to metal implants. The decision depends on factors like patient age, previous surgeries, and graft availability.

Asset Caption

Michael J. Alaia, M.D.

Keywords

osteochondral allograft

MACE

articular cartilage

survivorship rates

revision surgeries