Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects

Abstract

Altres ajuts: P.G. is the consultant for CONMED, and receives payment for lectures including service on speakers bureaus from CONMED. J.C.M. has grants/grants pending from Spanish Ministerio de Economia, Industria y Competitividad (National Programme for Research Aimed at the Challenges of Society), and receives payment for lectures including service on speakers bureaus from Smith & Nephew.Large post-traumatic osteochondral defects of the proximal tibia in young active patients can be challenging because total or partial arthroplasties are to be avoided. The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat these injuries. Although the use of a fresh allograft is not easily accessible in some places and carries considerable logistical limitations, it is an alternative that provides viable chondrocytes to the defect. The inclusion of the meniscus in the osteochondral graft improves the results but also makes the technique even more demanding. We present a thorough description of this allograft transplantation to make it as reproducible as possible