What is osteochondral surgery?

Osteochondral autografting (OCG) is a surgery to repair damaged articular cartilage that lines the ends of bones in a joint. An osteochondral autograft is a piece of tissue taken from a healthy section of the joint and transplanted to replace the chondral defects in the joint.

What does osteochondral lesion mean?

Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage.

What is an autograft surgery?

A patient’s own tissue – an autograft – can often be used for a surgical reconstruction procedure. Autograft tissue is the safest and fastest-healing tissue that can be used. However, harvesting autograft tissue creates a second surgical site from which the patient must recover.

How long does it take for an osteochondral defect to heal?

The recovery period after an osteochondral lesion usually lasts six months to a year. Typically, you progress from range-of-motion exercises to light cardiovascular exercise and then strengthening exercises. If you experience episodes of minor swelling or pain while exercising, have your physician examine your ankle.

What is the difference between an allograft and autograft?

Autograft. A patient’s own tissue – an autograft – can often be used for a surgical reconstruction procedure. Allograft tissue, taken from another person, takes longer to incorporate into the recpient’s body .

How long does an osteochondral allograft last?

Overall, osteochondral allografts to treat chondral lesions of the tibial plateau provide significant functional improvement for 10 years; however, less than 50 % are expected to survive 20 years [35•, 36].

What is osteochondral autograft&allograft?

Osteochondral Autograft & Allograft. Normal cartilage is smooth allowing easy gliding of the joint. When cartilage is injured, the smooth surface can become rough. On occasion, the cartilage injury exposes the underlying bone. Osteochondral grafting is a method of treating cartilage injuries that expose underlying bone.

What is osteochondral grafting for cartilage injury?

When cartilage is injured, the smooth surface can become rough. On occasion, the cartilage injury exposes the underlying bone. Osteochondral grafting is a method of treating cartilage injuries that expose underlying bone. Osteochondral grafts replace both the articular cartilage on the surface and the underlying bone.

What are the indications and contraindications of osteochondral allograft surgery?

Indications and contraindications. Generally, osteochondral allograft transplantation is considered as a rescue procedure if they fail, but can be done as a first resurfacing treatment in high-demand patients, or in large lesions that cannot be treated successfully with other resurfacing techniques.

What is the success rate of osteochondral allograft of the talus?

Success rates of osteochondral allograft of the talus are reported to range between 73% and 100%. Failures can be treated with a revision allograft transplantation (bipolar or not), ankle fusion or total ankle arthroplasty. Gross et al.8retrospectively reviewed nine patients with stage IV lesions of the talus treated with a blockshaped allograft.