Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion

Focal cartilage lesions of the tibial plateau present unique challenges due to limited regenerative potential and complex biomechanical demands. This Technical Note outlines an osteochondral allograft transplantation technique for treating isolated central defects of the lateral tibial plateau. Fresh donor allografts are precisely matched and prepared, with careful debridement and socket creation to ensure a stable press-fit implantation, secured with bioresorbable nails. The described approach emphasizes technical precision and patient selection. This method offers a targeted and effective solution for central tibial plateau lesions, addressing an unmet clinical need while preserving knee function and structural integrity.

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Journal
Arthroscopy Techniques
Published
2025-05-22
DOI
https://doi.org/10.1016/j.eats.2025.103569
Primary Topic
Osteoarthritis Treatment and Mechanisms
Type
article
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article

Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion

Nathan Sherman, Chilan Bou Ghosson Leite, Christian Lattermann, Sebastian Schmidt et al.
Arthroscopy Techniques
Osteoarthritis Treatment and Mechanisms
article

Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion

Nathan Sherman, Chilan Bou Ghosson Leite, Christian Lattermann, Sebastian Schmidt, Omar A. Protzuk, Alexander Bumberger, Domenico Franco
article en

Abstract

Focal cartilage lesions of the tibial plateau present unique challenges due to limited regenerative potential and complex biomechanical demands. This Technical Note outlines an osteochondral allograft transplantation technique for treating isolated central defects of the lateral tibial plateau. Fresh donor allografts are precisely matched and prepared, with careful debridement and socket creation to ensure a stable press-fit implantation, secured with bioresorbable nails. The described approach emphasizes technical precision and patient selection. This method offers a targeted and effective solution for central tibial plateau lesions, addressing an unmet clinical need while preserving knee function and structural integrity.

Arthroscopy TechniquesVol. 14(7)
Brigham and Women's Hospital (US), Heidelberg University (DE), University Hospital Heidelberg (DE), Vienna General Hospital (AT), Campus Bio Medico University Hospital (IT), University Medical Centre Mannheim (DE), Medical University of Vienna (AT)
Zero hunger, Good health and well-being
Openalex Percentile: Top 82%
Osteoarthritis Treatment and Mechanisms
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Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion — Nathan Sherman, Chilan Bou Ghosson Leite, et al. · Arthroscopy Techniques (2025) | TGRS Research Map | TGRS