Osteochondral Allograft Transplantation in the Knee of a Teenage Athlete: A Case Report

Bárbara Choupina*, Inês Casais, João Dinis, Filipe Lima Santos, Paulo Jorge Carvalho and Rui Lemos

Centro Hospitalar de Vila Nova de Gaia/Espinho, Porto, Portugal

*Corresponding Author: Bárbara Choupina, Centro Hospitalar de Vila Nova de Gaia/Espinho, Porto, Portugal.

Received: October 19, 2022; Published: November 13, 2022

Abstract

Introduction: Traumatic osteochondral lesions of the knee in young athletes can result in significant morbidity. The aim of our study was to describe the results of the use of an osteochondral allograft for the treatment of an extensive knee osteochondral lesion in a skeletally mature teenager.

Methods: A 17 years old male presented with knee pain, stiffness and locking sensation after a knee trauma related to sports. Imaging studies revealed an osteochondral injury of the lateral femoral condyle with approximately 4x2 cm. The patient underwent surgical treatment, in which an osteochondral graft was used to repair the lesion and fixated with resorbable cannulated screws.

An evaluation of range of motion, pain and knee function (IKDC Score) before the surgical procedure and at the end of 24 months of follow-up was performed.

Results: Range of motion increased from 100º preoperatively to 120º; pain improved from a daily, constant pain with an intensity of 6 (VAS) preoperatively to a sporadic pain with an intensity of 1 (VAS). The preoperative IKDC score was 36.8 and increased to 92. Return to sports was allowed at 12 months. There were no complications resulting from the procedure.

Conclusions: Although many studies are available on the efficacy of allografts in adults, little is published in children about the outcomes of allograft transplantation.
In this case, the use of an osteochondral allograft allowed for the restoration of range of motion, excellent functional capability and pain relief in the affected knee.

Keywords:Osteochondral Lesion; Allograft; Transplant; Knee; Adolescent

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Citation

Citation: Bárbara Choupina., et al. “Osteochondral Allograft Transplantation in the Knee of a Teenage Athlete: A Case Report”. Acta Scientific Orthopaedics 5.12 (2022): 147-152.

Copyright

Copyright: © 2022 Bárbara Choupina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.