Repair of Osteochondritis Dissecans of the Lateral Femoral Condyle by a Trochlea Osteochondral Autograft

A Case Report

Abstract

Case: 

A 17-year-old adolescent boy with large deep osteochondritis dissecans (OCD) of the right lateral femoral condyle was treated with ipsilateral trochlea osteochondral autograft transplantation combined with iliac cancellous bone grafting to the donor site of the lateral trochlea. Both autografts were fused 3 months after surgery. It was radiographically confirmed that the OCD lesion was successfully reconstructed.

Conclusion: 

This procedure is an alternative surgical option for large and deep OCDs. It offers sufficient loading strength to the joint and adequate reconstruction of the congruent joint surface and can be performed at any regular facility.