Total femoral and tibial osteochondral allograft for remobilizing a knee after arthrodesis

Sandro Giannini, Roberto Buda, Alberto Ruffilli, Gherardo Pagliazzi, Francesca Vannini

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Knee arthrodesis is a scarcely tolerated procedure with a strong negative impact on the quality of life of the patient. The use of a fresh osteochondral allograft represents a fascinating option for a biological joint reconstruction. Aim of this report is to describe a case of total femoral and tibial osteochondral allograft used for reversing a non-tolerated knee fusion in a young patient and to report the clinical and radiographic results obtained at a 4-year follow-up. Methods: A 22-year-old man with right knee arthrodesis received a reversion of the arthrodesis with a total femoral and tibial osteochondral allograft. Clinical and radiographical evaluations were carried out periodically up to 48 months. Results: At 48 months of follow-up, the patient had full integration of the allograft with a range of motion from 0° to 80°. Clinical scores improved from preoperative to final follow-up (IKDC from 25 to 65, KOOS from 32 to 65 and WOMAC from 30 to 74). Radiographic arthritis occurrence of the transplanted surfaces was evident at follow-up. Conclusions: Despite the good clinical results achieved in the case described, a wider applicability of total femoral and tibial osteochondral allograft requires further studies on long-term larger allograft survival. Arthritis recurrence of the transplanted surfaces is cause of concern. Causes and possible solutions need to be more deeply investigated. Level of evidence: Case report, Level V.

Original languageEnglish
Pages (from-to)2784-2789
Number of pages6
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume21
Issue number12
DOIs
Publication statusPublished - Dec 2013

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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