Who is a candidate for this procedure?
The typical individual considered a candidate for fresh osteochondral allografting is a younger, more active individual with a symptomatic, disabling cartilage injury or disease present in the knee, ankle or other joints such as the shoulder. Candidates are generally under 50 years of age and have a diagnosis such as traumatic chondral or osteochondral injury, osteochondritis dissecans, avascular necrosis, post traumatic arthrosis, focal secondary arthrosis, or patella femoral problems. Often, individuals have failed other forms of treatment, or felt to have disease states which are not amenable to any other type of procedure. Osteochondral allografts are particularly suited for osteochondral lesions such as Osteochondritis Dissecans, focal osteonecrosis or periarticular trauma where bone deformity or deficiency occurs in association with chondral disease.
Common Reasons for Osteochondral Grafting
1. Chondral and osteochondral lesions grater than 22 cm
2. Revision or salvage of previous cartilage surgery
3. Osteochondritis dissecans type III or IV
5. Post traumatic reconstruction after a fracture