Review
Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2015; 6(3): 340-350
Published online Apr 18, 2015. doi: 10.5312/wjo.v6.i3.340
Table 1 Location of allografts from Murphy
et al [
27 ]
Location Number Femur Medial condyle 18 Lateral condyle 15 Trochlea 2 Patella 3 Tibial plateau 1 Multiple sites 4
Table 2 Pre-operative and post-operative comparison of outcome measures from study by Murphy
et al [
27 ]
Outcome measure Pre-operative Post-operative IKDC scores Pain 5.7 ± 2.7 (0-10) 2.5 ± 2.4 (0-8) Function 3.7 ± 1.9 (0-9) 7.8 ± 1.7 (4-10) Total 42.0 ± 16.6 (14-98) 75.2 ± 20.2 (33-100) Modified D'Aubigne Postel 18-point score 13.1 ± 2.1 (9-18) 16.6 ± 1.6 (12-18) Knee Society Function score 69.3 ± 18.8 (45-100) 89.4 ± 16.3 (40-100)
Table 3 Demographic details of all studies included in review
Ref. Population Indication Location Patient no. No. of knees Mean age (yr) Mean follow up Failure rate Bakay et al [6 ] - Osteoarthritis; post-traumatic; OCD; chondromalacia MFC, LFC, T, P, bipolar 18 33 48 19 mo - Ghazavi et al [30 ] Young, active patients Post-traumatic MFC, LFC, T, bipolar, P 123 126 35 7.5 yr 15% Langer et al [4 ] Young, active patients Post-traumatic; OCD; osteonecrosis; osteoarthritis MFC, LFC 60 60 27 10 yr 20% Gross et al [5 ] Young, active patients Tibial plateaus fractures T 65 65 42.8 11.8 yr 32% Jamali et al [35 ] - Post-traumatic; patella subluxation; primary patellofemoral arthrosis; primary chondromalacia patellae P, FT 18 20 94 mo 28% Colangeli et al [31 ] - Proximal tibia bone tumour T 8 8 23.1 37 mo - Davidson et al [19 ] - OCD; post-traumatic MFC, FT 8 10 32.6 40 mo - Emmerson et al [24 ] - OCD MFC, LFC 64 66 28.6 7.7 yr 15% McCulloch et al [21 ] - Degenerative; post-traumatic; OCD; osteonecrosis MFC, LFC 25 25 35 35 mo 4% Williams et al [8 ] - Full-thickness cartilage defect; OCD; osteonecrosis MFC, LFC 19 19 34 48 mo 21% Pearsall et al [3 ] - Full-thickness cartilage defect MFC, LFC, FT, P 48 24 allografts 46 37.1 mo 19% Muscolo et al [32 ] - Proximal tibia bone tumour; previous allograft failure T 52 58 24 10.3 yr 39% Krych et al [28 ] Athletes Post-traumatic; non-traumatic focal chondral and osteochondral lesion; OCD MFC, LFC, FT, multiple sites 43 43 32.9 2.5 yr - Murphy et al [27 ] Pediatric and adolescent population OCD; avascular necrosis; post-traumatic; osteochondral fracture; degenerative lesion MFC, LFC, FT, P, T, multiple sites 39 43 16.4 8.4 yr 12% Raz et al [29 ] Young, active patients Post-traumatic; OCD MFC, LFC 58 58 28 21.8 yr 22%
Table 4 Summary of survivorship analysis of all studies included in review
Ref. Location No. of knees Survivorship 5 yr (%) 10 yr (%) 15 yr (%) 20 yr (%) 25 yr (%) Bakay et al [6 ] MFC, LFC, T, P, bipolar 33 - - - - - Ghazavi et al [30 ] MFC, LFC, T, bipolar, P 126 95 71 66 - - Langer et al [4 ] MFC, LFC 60 95 85 - - - Gross et al [5 ] T 65 95 80 - - - Jamali et al [35 ] P, FT 20 - 67 - - - Colangeli et al [31 ] T 8 - - - - - Davidson et al [19 ] MFC, FT 10 - - - - - Emmerson et al [24 ] MFC, LFC 66 91 76 76 - - McCulloch et al [21 ] MFC, LFC 25 - - - - - Williams et al [8 ] MFC, LFC 19 - - - - - Pearsall et al [3 ] MFC, LFC, FT, P 24 - - - - - Muscolo et al [32 ] T 58 65 65 - - - Krych et al [28 ] MFC, LFC, FT, multiple sites 43 - - - - - Murphy et al [27 ] MFC, LFC, FT, P, T, multiple sites 43 - - - - - Raz et al [29 ] MFC, LFC 58 - 91 84 69 59
Table 5 Summary of outcome scores and results of all studies included in review
Ref. Location No. of knees D'Aubigne and Postel HSS IKDC Lysholm KSS KSF ADL MTS ISLS SF-12 SF-36 Tegner Outerbridge Marx 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 Bakay et al [6 ] MFC, LFC, T, P, bipolar 33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ghazavi et al [30 ] MFC, LFC, T, bipolar, P 126 - - - - - - - - - - - - - - - - - - - - - - - - - - - - Gross et al [5 ] MFC, LFC 60 - - - 83/100 - - - - - - - - - - - - - - - - - - - - - - - - Gross et al [23 ] T 65 - - - 85.3/100 - - - - - - - - - - - - - - - - - - - - - - - - Jamali et al [35 ] P, FT 20 11.7 16.3 - - - - - - - - - - - - - - - - - - - - - - - - - - Colangeli et al [31 ] T 8 - - - - - - - - - - - - - - - - - - - - - - - - - - - - Davidson et al [19 ] MFC, FT 10 - - - - 27 79 37 78 - - - - - - - - - - - - 38 51 4.3 5.3 4.3 0.6 - - Emmerson et al [24 ] MFC, LFC 66 13 16.4 - - - - - - - - - - - - - - - - - - - - - - - - - - McCulloch et al [21 ] MFC, LFC 25 - - - - 29 58 39 67 - - - - - - - - - - 36 40 - - - - - - - - Williams et al [8 ] MFC, LFC 19 - - - - - - - - - - - - 56 70 - - - - - - 51 66 - - - - - - Pearsall et al [20 ] MFC, LFC, FT, P 24 - - - - - - - - 110 119 - - - - - - - - - - - - - - - - - - Muscolo et al [32 ] T 58 - - - - - - - - - - - - - - - 26/30 - 87% - - - - - - - - - - Krych et al [28 ] MFC, LFC, FT, multiple sites 43 - - - - 46 79 - - - - - - 62 82 - - - - - - - - - - - - 5.5 8.4 Murphy et al [27 ] MFC, LFC, FT, P, T, multiple sites 43 13.1 16.6 - - 42 75 - - - - 69.3 89.4 - - - - - - - - - - - - - - - - Raz et al [29 ] MFC, LFC 58 - - - 86/100 - - - - - - - - - - - - - - - - - - - - - - - -
Table 6 Summary of Knee injury and osteoarthritis outcome scores of study by McCulloch
et al [
21 ]
Year Ref. Location No. of knees KOOS Pain KOOS Symptoms KOOS ADL KOOS SRF KOOS QOL Pre-operative Post-operative Pre-operative Post-operative Pre-operative Post-operative Pre-operative Post-operative Pre-operative Post-operative 2007 McCulloch et al [21 ] MFC, LFC 25 43 73 46 64 56 83 18 46 22 50
Table 7 Summary of Western Ontario and McMaster Universities Osteoarthritis index score of study by Pearsall et al Post-operative considerations
Year Ref. Location No. of knees WOMAC Pain WOMAC Stiffness WOMAC Function Pre-operative Post-operative Pre-operative Post-operative Pre-operative Post-operative 2008 Pearsall et al [20 ] MFC, LFC, FT, P 24 10.9 14.5 4.1 5.6 38.3 49.7