VIDEO: Osteochondral allograft transplantation had low complications, high return to sport
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Key takeaways:
- Patient-reported outcomes improved at every timepoint after osteochondral allograft transplantation.
- Patients experienced good graft incorporation 6 months after surgery.
SAN FRANCISCO — Results presented here showed fresh osteochondral allograft transplantation yielded a low rate of complications and a high rate of return to sports in patients with unstable capitellar osteochondritis dissecans.
Among 24 patients with unstable capitellar osteochondritis dissecans who underwent fresh osteochondral allograft transplantation in 26 elbows, S. Clifton Willimon, MD, and colleagues found 81% and 96% of patients returned to sport at 1 year and 2 years after surgery, respectively.
“We were fortunate to have all but one of the patients complete 2-year [patient-reported outcome] PRO questionnaires. And in that, we found that the PROs, including the Oxford elbow score, the QuickDASH and QuickDASH sports score all improved at every timepoint, including 6 months, 1 year and 2 years from surgery,” Willimon told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
Patients who had MRI available 6 months after surgery had an average of 11 points in the Bogey score, which showed good graft incorporation, according to Willimon.
“There were 11 gymnasts in the study. Four returned to gymnastics, six chose a different sport and one did not return to any sport due to non-orthopedic medical problems,” he said. “There were six baseball players, 83% of them returned to baseball and one chose another sport.”
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Willimon SC, et al. Paper 494. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb 12-16, 2024; San Francisco.
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