Cartilage Repair Technique - Skeletally Mature
We are unable to recommend for or against a specific cartilage repair technique in symptomatic skeletally mature patients with an unsalvageable OCD lesions.
There are many different cartilage repair techniques including autologous chondrocyte implantation, osteochondral transplantation using allograft or autograft, and marrow stimulation techniques such as abrasion arthroplasty and microfracture. There were four Level IV studies that addressed cartilage repair techniques for an unsalvageable OCD lesion. Since each of these Level IV articles utilized different techniques, different outcome measures and differing lengths of follow-up, the work group deemed that the evidence for any specific technique was inconclusive.
- (43) Pascual-Garrido C, Friel NA, Kirk SS et al. Midterm results of surgical treatment for adult osteochondritis dissecans of the knee. Am J Sports Med 2009;37 Suppl 1:125S-130S.
- (44) Peterson L, Minas T, Brittberg M, Lindahl A. Treatment of osteochondritis dissecans of the knee with autologous chondrocyte transplantation: results at two to ten years. J Bone Joint Surg Am 2003;85-A Suppl 2:17-24.
- (45) Steinhagen J, Bruns J, Deuretzbacher G, Ruether W, Fuerst M, Niggemeyer O. Treatment of osteochondritis dissecans of the femoral condyle with autologous bone grafts and matrix-supported autologous chondrocytes. Int Orthop 2009.
- (46) Ossendorf C, Kreuz PC, Steinwachs MR, Erggelet C. Autologous chondrocyte implantation for the treatment of large full-thickness cartilage lesions of the knee. Saudi Medical Journal 2007;28(8):1251-1256.