Mosaicplasty Mcalester OK

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Patrick Russel Gannon, MD
(918) 421-8760
1401 E Van Buren Ave
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1993
Hospital
Hospital: Mc Alester Regional Health Cen, McAlester, Ok
Group Practice: Warren Clinic McAlester Division

Data Provided By:
Chad Crawley
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
Richard Wade Corley, DDS
(918) 423-2628
215 E Choctaw Ave Ste 108
Mcalester, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Michael Mundis, MD
Edmond, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 2003

Data Provided By:
Denny Eugene Krout
(918) 836-2204
8523 E 11th St Ste A2
Tulsa, OK
Specialty
Orthopedic Surgery

Data Provided By:
Patrick Russell Gannon
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
Ronald C Schatzman Jr, MD
(918) 420-1181
PO Box 908 1401 E Van Buren
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
Harvey C Jenkins Jr., MD
(405) 686-1700
8603 S Western Ave
Oklahoma City, OK
Business
Aria Orthopedics
Specialties
Orthopedics

Data Provided By:
Martin R Hullender
(580) 482-4025
304 S Park Ln
Altus, OK
Specialty
Orthopedic Surgery

Data Provided By:
Stephen Roy Davenport, MD
(888) 947-0911
3301 NW 50th St
Oklahoma City, OK
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1980

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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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