Fresh Femoral Head Osteochondral Allograft Transplantation for Treating Osteochondritis Dissecans of the Femoral Head
Authors: Maldonado DR, Mu BH, Chen AW, Ortiz-Declet V, Perets I, Yuen LC, Domb BG
Journal: Arthrosc Tech. 2018 Mar 12;7(4):e331-e335.
DOI: 10.1016/j.eats.2017.10.001 | PMID: 29868400
Background
Osteochondritis dissecans (OCD) of the femoral head is difficult to treat surgically. This article presents the technique of fresh femoral head osteochondral allograft transplantation via open surgical dislocation.
Methods
Open surgical dislocation allows direct visualization and treatment of large OCD lesions. Fresh femoral head allografts avoid donor-site morbidity and enable reconstruction of large, difficult lesions.
Key Findings
This technique expands treatment options for large femoral head OCD lesions, providing structural and biological restoration.
Conclusions
Fresh osteochondral allograft transplantation through open dislocation is a viable and effective treatment option for large OCD lesions unamenable to arthroscopic management.
What Does This Mean for Providers?
Providers should consider fresh femoral head osteochondral allograft transplantation for patients with large or complex OCD lesions. Mastery of open hip dislocation and graft techniques is necessary to optimize joint preservation and function in this challenging patient group.Arthroscopic Central Acetabular Decompression: Clinical Outcomes at Minimum 2-Year Follow-up Using a Matched-Pair Analysis