OCD Fixation Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-OCD Fixation: 10. Pearls for Osteochondral Allograft Transplantation in a Skeletally Immature Knee

OCD Fixation: 10. Pearls for Osteochondral Allograft Transplantation in a Skeletally Immature Knee

Video Transcription

Video Summary

In the video, Dr. Ben Hayworth from Boston Children's Hospital discusses the benefits of Osteochondral Allograft Transplantation (OCA) in the Skeletally Immature Knee. OCA is a technique that uses transplanted cadaveric combined bone and cartilage grafts to resurface damaged cartilage. It has been used for several decades and is effective in young and active patients, including athletes. OCA is suitable for patients with open or closed growth plates, but adjustments may be needed for trochlear lesions. It is particularly indicated for osteochondritis dissecans in adolescent patients. However, there are some disadvantages, including limited long-term research, potential graft viability issues, and high reoperation rates. Several cases are presented to illustrate the procedure and outcomes. The video concludes by mentioning new technology and rehabilitation protocols for OCA. No specific credits are given. (193 words)

Keywords

Osteochondral Allograft Transplantation

Skeletally Immature Knee

cadaveric combined bone and cartilage grafts

osteochondritis dissecans

graft viability issues