Overview: Management of chondral lesions of the femoral head can be challenging. By using a Smith–Peterson (direct anterior) approach and a femoral head allograft, large lesions may be treated while avoiding both trochanteric osteotomy and donor-site morbidity.
Discussion: Arthroscopic osteochondral transplantation had been described for chondral lesions at the femoral head, but its use is limited to smaller lesions along the anterosuperior and anterolateral aspects of the femoral head, due to visualization constraints.
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Jeffrey W. Chen, B.A., Philip J. Rosinsky, M.D., Jacob Shapira, M.D., David R. Maldonado, M.D., Cynthia Kyin, B.A., Ajay C. Lall, M.D., M.S., and Benjamin G. Domb, M.D."Osteochondral Allograft Implantation Using the Smith–Peterson (Anterior) Approach for Chondral Lesions of the Femoral Head". Arthrosc Tech. 2020 Feb; 9(2): e239–e245.