2023 Annual Meeting Biologics-U.S. Perspective_ Fresh Osteochondral Allograft… It’s the ONLY Way! My Lessons Learned.

U.S. Perspective_ Fresh Osteochondral Allograft… It’s the ONLY Way! My Lessons Learned.

Video Transcription

Video Summary

Dr. James Tanner advocates that fresh osteochondral allografts (OCA) are the superior treatment for large, complex cartilage lesions, emphasizing their ability to restore true hyaline cartilage rather than fibrocartilage patches. He highlights advances like the Missouri Osteochondral Preservation System (MOPS), enhancing graft viability and outcomes. Evidence shows donor cells survive essential for graft success, and improved surgical techniques minimize complications. While small lesions may benefit from microfracture or autografts, large or bipolar lesions require OCA restoration. Recent studies reveal promising failure rates and high return-to-sport levels, including in severe cases. OCAs thus effectively salvage active patients' knees pending future regeneration therapies.

Asset Caption

James P. Stannard, M.D., United States

Keywords

osteochondral allografts

cartilage lesions

Missouri Osteochondral Preservation System

graft viability

return-to-sport outcomes