Authors' recommendations: Mosaicplasty is a technique for repairing cartilage in weight-bearing joints that have been damaged by trauma or degenerative processes. It consists of removing small cylinders of cartilage or bone and cartilage from low- or non-weight-bearing sites in the affected joint or another joint in the patient. Rationale: Mosaicplasty places durable, living cartilage at sites within joints that have high levels of physical stress due to weight bearing and motion. Controversy: Mosaicplasty is a complex procedure that requires recreation of a mobile, load-bearing surface. Inaccurate reconstruction can create uneven physical stresses that accelerate breakdown of the transplanted cartilage. This technique can also cause complications at the donor site. Relevant Questions: Does mosaicplastic repair of osteochondral (OC) defects reduce symptoms and improve joint function in patients with knee or ankle injuries? Does mosaicplasty of OC defects reduce symptoms and improve function in patients with injuries of other joints such as the elbow, shoulder, or hip? How does the efficacy of mosaicplasty compare with other available treatments, such as arthroscopic interventions, autologous chondrocyte implantation (ACI) and microfracture (MF)? Is mosaicplasty safe? Have definitive patient selection criteria been established for use of mosaicplasty?

Project Status: Completed

Year Published: 2017

URL for published report: The report may be purchased from: http://www.hayesinc.com/hayes/crd/?crd=64866

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: United States

Organisation Name: HAYES, Inc.

Contact Address: 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218

Contact Name: saleinfo@hayesinc.com

Contact Email: saleinfo@hayesinc.com

Copyright: Winifred S. Hayes, Inc