Particulated juvenile cartilage allograft transplantation for the treatment of osteochondral lesions of the talus
© 2014 Published by Elsevier Inc. Osteochondral lesions of the talus present a formidable treatment challenge to the orthopaedic surgeon. Although debridement with either microfracture, drilling, or curettage is often successful in relieving pain and growing fibrocartilage within a standard lesion, the option of implanting particulated juvenile cartilage allograft has become a promising treatment alternative for patients who have failed routine treatment or who have osteochondral lesions that are known to do poorly from the onset. Particulated juvenile cartilage allograft transplantation delivers 1mm3 of fresh juvenile cartilage, which contain live cells in their native extracellular matrix, that are secured into the osteochondral defect with the use of a fibrin adhesive. The current evidence, indications, and surgical technique for the use of particulated juvenile cartilage allograft transplantation in the management of osteochondral lesions of the talus have been reviewed.
Adams, SB; Easley, ME; Schon, LC
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