Isolated Osteochondral Autograft Transplantation for a Focal Chondral Defect of the Patella.

Shoemaker, Evan P; Tollefson, Luke V; Rasmussen, Matthew T; Lee, Dustin R; LaPrade, Robert F · Arthrosc Tech · 2025

case_report · Level V

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Abstract

Patellar chondral lesions are disabling injuries that are mechanically limiting and lead to the further progression of osteoarthritis. Patellar chondral lesions are identified in 11.0% to 34.6% of routine knee arthroscopies. Multiple surgical interventions, including chondroplasty, microfracture, osteochondral transplantation, and matrix-induced autologous chondrocyte implantation, have been described, but the best treatment method is debated. For isolated chondral lesions of the patella, osteochondral autograft transplantation from a lesser weightbearing surface in the knee has reported mid- and long-term success. This Technical Note describes isolated osteochondral autograft transplantation for a focal chondral defect of the patella.

Anatomy