AANA19 Knee Access Pass-Osteoarticular Allograft is the Way to Go-Dr. Brian J. Cole, M.D., M.B.A.

Osteoarticular Allograft is the Way to Go-Dr. Brian J. Cole, M.D., M.B.A.

Video Transcription

Video Summary

The speaker shares extensive experience managing articular cartilage injuries, emphasizing thoughtful "skillful neglect" and reassurance initially. Defect size crucially influences treatment choice. Osteochondral allografts (OCA) are highlighted as versatile, effective salvage and sometimes primary treatments, with over 800 cases showing 75%+ survivorship at 10–15 years. Managing comorbidities like malalignment and meniscal deficiency is pivotal. OCA suits various joints and patient profiles, including athletes and overweight individuals. Proper graft handling preserves cell viability. Return to sport rates reach 75–88%. Even failed OCAs can often be revised successfully. Overall, OCA provides durable, adaptable solutions for complex cartilage defects, improving outcomes and activity levels.

Keywords

articular cartilage injuries

osteochondral allografts

treatment outcomes

comorbidity management

return to sport