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Donor-Site-Related Mechanical Symptoms Following Osteochondral Autograft Transfer

A Case Report

Anil, Utkarsh, BA1; Strauss, Eric J., MD1

doi: 10.2106/JBJS.CC.18.00060
Case Reports

Case: A 37-year-old woman presented with repetitive catching of the right knee 4 weeks after implantation of a 2-plug osteochondral autograft into the medial femoral condyle. The workup indicated that the symptoms were secondary to patellar engagement with the donor sites of the lateral aspect of the trochlea. She subsequently underwent osteochondral allograft implantation, resulting in painless, full range of motion with complete resolution of the mechanical symptoms.

Conclusion: It is important to consider donor-site morbidity following osteochondral autograft implantation, especially in patients with a relatively narrow distal aspect of the femur. Implantation of osteochondral allograft plugs in the symptomatic donor site is a feasible management option for this rarely reported complication.

1Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY

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Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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