Use of allografts in knee reconstruction: II. Surgical considerations.

  title={Use of allografts in knee reconstruction: II. Surgical considerations.},
  author={Walter R Shelton and Samantha Treacy and Albert Demaine Dukes and A L Bomboy},
  journal={The Journal of the American Academy of Orthopaedic Surgeons},
  volume={6 3},
The first allograft used in the knee was articular cartilage. The need to use fresh grafts and the absence of proper instruments for shaping and sizing implants have prevented widespread usage of articular cartilage allografts. Patient selection is very important; young, active, well-motivated individuals with defects smaller than 4 cm2 caused by trauma or osteochondritis dissecans have the best results. Failure is evidenced by crumbling of the supporting bone and fragmentation of the graft, a… CONTINUE READING


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