Mosaicplasty Aberdeen SD

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H Ray Duncan, DDS
(605) 225-5761
2319 6th Ave SE
Aberdeen, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Brian Mac Dougall, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1985

Data Provided By:
Peter R Carter, MD
(214) 559-7572
1440 15th Ave NW
Aberdeen, SD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1968
Hospital
Hospital: Texas Scottish Rite Hospital F, Dallas, Tx

Data Provided By:
Matthew C Reynen
(605) 226-2663
701 8th Avenue Nw Suite A
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
James Keith Mantone, MD
(605) 226-2663
701 8th Ave NW Ste A
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1993

Data Provided By:
James Brian MacDougall
(605) 226-2663
701 8th Ave Nw
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
Mark Charles Harlow, MD
(605) 229-0205
201 S Lloyd St
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1968
Hospital
Hospital: St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Aberdeen Association-Ortho Sur

Data Provided By:
Chester Wilson P Mayo, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1986
Hospital
Hospital: Huron Reg Med Ctr, Huron, Sd; St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Orthopedic Surgery Specialists

Data Provided By:
Matthew Carl Reynen, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1991
Hospital
Hospital: Huron Reg Med Ctr, Huron, Sd
Group Practice: Orthopedic Surgery Specialists

Data Provided By:
Thomas G Harbert
(605) 229-0205
201 S Lloyd St
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
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Cartilage Repair in Sports Athletes Using Mosaicplasty

Injuries, defects, lesions, or tears of any kind in the joint cartilage can end a sports athlete's career. Today, there are improved ways to treat cartilage injuries, especially in the knee. One of those methods is called mosaicplasty. This article reviews the uses and long-term results of mosaicplasty in an athletic population.

What is mosaicplasty? It's a form of osteochondral autografting. That doesn't really explain anything, does it? Let's start with the last part of the term: grafting tissue is the moving of some type of soft tissue from one spot to another. It could be ligament, tendon, muscle, or as in this case, cartilage. Autografting tells us the donor tissue being harvested to repair the problem is coming from the patient himself.

Osteochondral can be broken down into two words: osteo for bone and chondral meaning cartilage. So with osteochondral, we have cartilage that has pulled away from the joint with the underlying next layer of bone still attached. We call this kind of damage a full-thickness defect. That is the injury side of things.

Now the repair side of the problem: mosaicplasty. During this procedure, the surgeon harvests cartilage and bone from an area of the knee that doesn't get much action and isn't under the pressure of constant weight bearing. The donor or graft is smoothed and shaped to fill in the defect site. Sometimes only one donor plug is needed but some patients in this particular study had as many as nine grafted pieces.

What are the advantages of this treatment? And who is considered a good candidate for the procedure? Mosaicplasty can help save the joint and protect it from further wear and tear around the defect site. Normal joint biomechanics can be restored with this technique and get the athlete back into full sports participation sooner than later. With seasonal sports and a limited amount of playing time, faster return-to-sports can be a huge benefit of a successful mosaicplasty.

Among the athletes with cartilage damage, who can benefit? The results of this study confirm what other studies have shown. Younger athletes who have smaller (and fewer) lesions seem to do the best. But location of the lesion was a key risk factor for successful outcomes. Lesions located on the femoral condyles (large round knobs at the end of the femur (thighbone) seem to respond better than damage or defects to the patella (kneecap).

Athletes from all types of sports were included with no real difference in results based on their sports injuries. Soccer players, handball, water polo, wrestling, gymnasts, and many others had equally good results. Only a small number of patients suffered from post-operative complications such as hemorrhage, infection, or persistent pain and swelling. At least in this study, sex (male versus female) was not a significant factor.

The researchers found that there were some other specific factors that influenced success or failure. For example, smaller...

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