Osteochondral Allograft Transplantation and Opening Wedge Tibial Osteotomy

Purpose: To assess outcomes of patients who concomitantly underwent an osteochondral allograft (OCA) transplantation and osteotomy.


  • A case series of 17 patients underwent a tibial osteotomy for varus malalignment and OCA transplantation for cartilage repair simultaneously
  • All osteotomies and allografts demonstrated radiographic healing within 6 months of surgery
  • Two of the 17 patients failed at a mean of 9.3 years, the remaining 15 had intact grafts at a mean survival rate of 8.1 years
  •  Mean pain and function IKDC scores improved an average of 33 points at midterm follow-up
  • 92% of patients expressed satisfaction with their results

JRF Ortho Take Away: Combining a tibial osteotomy and OCA is a safe and effective treatment in properly selected patients. 

Link to the abstract.

Authors: Albert C. Hsu, Luis E.P. Tirico, Abraham G. Lin, Pamela A. Pulido, William D. Bugbee

Published: Cartilage. 2018 Jul;9(3):248-254.

Institution: Shiley Center for Orthopaedic Research and Education and the Department of Orthopaedic Surgery, Scripps Clinic