An osteochondral graft is plug of bone and cartilage that can be press-fitted into a prepared hole to replace a defect in the joint cartilage.

prepared defect for OATS graft

A defect in the cartilage is prepared for grafting by coring out bone and cartilage.

OATS - osteoarticular transfer system

A plug of healthy bone and cartilage is press-fitted into the hole to replace the original tissues.

 

Osteochondral autograft or allograft?

For smaller defects autograft can be used, where the plug of cartilage and bone is harvested from the patient rather than a donor. Small plugs are harvested along the outer edges of the groove where there is less weight being borne. If the defect is too large for a single plug (OATS) then smaller plugs can be packed like a mosaic into the prepared area (mosaicplasty). For larger defects, cadaver femur can be purchased (pre-sterilised) and the plugs can be taken from that source (allograft).

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Surgical cartilage repair for knee osteoarthritis

An overview of the various options available for surgical cartilage repair of the knee.

Report of a visit to JRF Ortho, who supply allografts to surgeons.

Discussion looking at the alternatives to a joint replacement in active patients whose osteoarthritis tends to be limited.

This is the editor's 'interpretation' of a 2011 publication in the medical journals that gives an overview of cartilage injury, a brief description of current treatment options and outcomes, and a discussion of principles and techniques of MACI.

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