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. Fres...

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Main Authors: Sebastian Schmidt, M.D., Chilan B.G. Leite, M.D., Ph.D., Domenico Franco, M.D., Alexander Bumberger, M.D., Nathan Sherman, M.D., Omar Protzuk, M.D., Christian Lattermann, M.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001380
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author Sebastian Schmidt, M.D.
Chilan B.G. Leite, M.D., Ph.D.
Domenico Franco, M.D.
Alexander Bumberger, M.D.
Nathan Sherman, M.D.
Omar Protzuk, M.D.
Christian Lattermann, M.D.
author_facet Sebastian Schmidt, M.D.
Chilan B.G. Leite, M.D., Ph.D.
Domenico Franco, M.D.
Alexander Bumberger, M.D.
Nathan Sherman, M.D.
Omar Protzuk, M.D.
Christian Lattermann, M.D.
author_sort Sebastian Schmidt, M.D.
collection DOAJ
description 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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series Arthroscopy Techniques
spelling doaj-art-df7ddecee73b46298412a0d00cb48f7c2025-08-20T03:40:37ZengElsevierArthroscopy Techniques2212-62872025-07-0114710356910.1016/j.eats.2025.103569Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage LesionSebastian Schmidt, M.D.0Chilan B.G. Leite, M.D., Ph.D.1Domenico Franco, M.D.2Alexander Bumberger, M.D.3Nathan Sherman, M.D.4Omar Protzuk, M.D.5Christian Lattermann, M.D.6Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.; Department of Orthopaedic and Trauma Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Address correspondence to Sebastian Schmidt, M.D., Department of Orthopaedic and Trauma Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.; Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, ItalyDepartment of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.; Department of Orthopedics and Trauma Surgery, University Hospital Vienna, Medical University of Vienna, Vienna, AustriaDepartment of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.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.http://www.sciencedirect.com/science/article/pii/S2212628725001380
spellingShingle Sebastian Schmidt, M.D.
Chilan B.G. Leite, M.D., Ph.D.
Domenico Franco, M.D.
Alexander Bumberger, M.D.
Nathan Sherman, M.D.
Omar Protzuk, M.D.
Christian Lattermann, M.D.
Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
Arthroscopy Techniques
title Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
title_full Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
title_fullStr Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
title_full_unstemmed Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
title_short Osteochondral Allograft Transplantation for Treatment of a Focal Tibial Plateau Cartilage Lesion
title_sort osteochondral allograft transplantation for treatment of a focal tibial plateau cartilage lesion
url http://www.sciencedirect.com/science/article/pii/S2212628725001380
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