Overview: The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat large post-traumatic osteochondral defects of the proximal tibia in young active patients. 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.
Discussion: The use of a fresh osteochondral allograft including its meniscus is one of the few options to biologically treat large post-traumatic osteochondral defects of the proximal tibia in young active patients.
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Pablo E. Gelber, M.D., Ph.D., Juan I. Erquicia, M.D., Eduard Ramírez-Bermejo, M.D.,a Oscar Fariñas, M.D., and Juan C. Monllau, M.D., Ph.D. "Fresh Osteochondral and Meniscus Allografting for Post-traumatic Tibial Plateau Defects". Arthrosc Tech. 2018 Jun; 7(6): e661–e667.