Surgical treatment for early osteoarthritis. Part II: Allografts and concurrent procedures

A. H. Gomoll, G. Filardo, F. K. Almqvist, W. D. Bugbee, M. Jelic, J. C. Monllau, G. Puddu, W. G. Rodkey, P. Verdonk, R. Verdonk, S. Zaffagnini, M. Marcacci

Research output: Contribution to journalReview articleResearchpeer-review

73 Citations (Scopus)

Abstract

Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successful procedure in the older population, is controversial in younger patients, who are less satisfied and experience higher failure rates. Therefore, while traditionally not indicated for the treatment of OA, cartilage repair has become a focus of increased interest due to its potential to provide pain relief and alter the progression of degenerative disease, with the hope of delaying or obviating the need for joint replacement. The field of cartilage repair is seeing the rapid development of new technologies that promise greater ease of application, less demanding rehabilitation and better outcomes. Concurrent procedures such as meniscal transplantation and osteotomy, however, remain of crucial importance to provide a normalized biomechanical environment for these new technologies. Level of evidence: Systematic review, Level II. © 2011 Springer-Verlag.
Original languageEnglish
Pages (from-to)468-486
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume20
Issue number3
DOIs
Publication statusPublished - 1 Mar 2012

Keywords

  • Allografts
  • Concurrent procedures
  • Early osteoarthritis
  • Knee
  • Surgical treatment

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