Mosaicplasty Pendleton OR

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Charles Thomas Weeks, MD
(541) 276-4642
1416 SE Court Ave
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1966
Hospital
Hospital: St Anthony Hospital, Pendleton, Or
Group Practice: Eastern Oregon Orthopaedic

Data Provided By:
Durk V Irwin, DDS
(541) 276-7819
610 SW Dorion Ave
Pendleton, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bart Rask
(509) 648-0803
349 Se 7th Ave
Hillsboro, OR
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Maurice Strum, MD
PO Box 4030
Salem, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1979

Data Provided By:
John J O'Shea
(503) 238-1062
5050 Ne Hoyt St Ste 138
Portland, OR
Specialty
Orthopedic Surgery

Data Provided By:
Bradley Scott Adams, MD
(541) 276-4642
1416 SE Ct
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1996

Data Provided By:
Joseph P Schenck, MD
(503) 494-8991
Mail Code OP-31 3181 NW Sam Jackson Pwy
Portland, OR
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Walter Aldine Smith Jr, MD
(503) 293-0161
9250 SW Hall Blvd
Tigard, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1969

Data Provided By:
Douglas Petrie Morrison, MD
(541) 482-4533
269 Maple St
Ashland, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1975

Data Provided By:
Robert Lawrence Thomas, MD
(541) 382-3344
2200 NE Neff Rd Ste 200
Bend, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1984

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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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