Osteochondral Allograft Transplantation for Treatment of Focal Patellar Osteochondral Lesion

• Main Authors: Marcio B. Ferrari, M.D., George Sanchez, B.S., Angela Chang, B.A., Anthony Sanchez, B.S., João L. Ellera Gomes, M.D., Ph.D., Matthew T. Provencher, M.D.
• Format: Article
• Language: English
• Published: Elsevier 2017-08-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S2212628717300609

Patellar osteochondral lesions are common and particularly disabling injuries that can affect young and highly active patients. If enough functional impairment, ranging from difficulty climbing stairs to pain with squatting, is present, surgical treatment may be warranted. For the treatment of these lesions, various techniques have been described, including autologous osteochondral transplantation, as well as microfracture surgery. However, these are not without disadvantages. Although morbidity is noted in cases of autologous osteochondral transplantation, uncertain and possibly unsustainable results are associated with the microfracture procedure. Therefore, we present an alternative surgical treatment option for this pathology. The objective of this Technical Note is to describe our preferred approach for an osteochondral allograft transplant procedure to treat a focal patellar osteochondral lesion.