Diagnosis and Management of Patellofemoral Cartilage Injuries (2023 Annual Meeting)-Patellofemoral Osteochondral Allograft: Algorithm and Technique

Patellofemoral Osteochondral Allograft: Algorithm and Technique

Video Transcription

Video Summary

Dr. Adam Yankee from Rush University discusses osteochondral allografts (OAG) for patellofemoral joint repair, emphasizing the complex patellar and trochlear anatomy and importance of precise graft matching based on cartilage width, patellar/trochlear dimensions, and defect size. He describes surgical techniques, stressing careful measurement, graft rotation, and chamfering to ensure proper fit and avoid cartilage damage. Outcomes show OAG plugs have better long-term survival than shells, with clinical results comparable to autologous chondrocyte implantation (ACI). Indications favor OAG for large, bipolar, or uncontained lesions and bone irregularities. Attention to soft tissue balance and osteotomy role remains critical but not fully defined.

Asset Caption

Adam Yanke, M.D.

Keywords

osteochondral allografts

patellofemoral joint repair

graft matching

surgical techniques

clinical outcomes