Fresh Osteochondral Allograft Transplantation for Fractures of the Knee

ObjectiveThe purpose of this study was to evaluate functional outcomes and allograft survivorship among patients with knee fracture who underwent fresh osteochondral allograft (OCA) transplantation as a salvage treatment option.DesignRetrospective analysis of prospectively collected data.SettingDepartment of Orthopaedic Surgery at one hospital.PatientsFresh OCAs were implanted for osteochondral lesions after knee fracture in 24 males and 15 females with an average age of 34 years. Twenty-nine lesions (74%) were tibial plateau fractures, 6 (15%) were femoral condyle fractures, and 4 (10%) were patella fractures.Main Outcome MeasurementsClinical evaluation included modified Merle d’Aubigne-Postel (18-point), International Knee Documentation Committee, and Knee Society function scores, and patient satisfaction. Failure of OCA was defined as revision OCA or conversion to total knee arthroplasty (TKA).ResultsNineteen of 39 knees (49%) had further surgery. Ten knees (26%) were considered OCA failures (3 OCA rev...