TechniquesFresh Osteochondral Allograft Transplantation for the Treatment of Unstable Osteochondritis Dissecans of the Capitellum in the ElbowSingh, Paramjit MD; Mirzayan, Raffy MDAuthor Information Department of Orthopaedic Surgery, Kaiser Permanente, Baldwin Park, CA R.M. receives royalties from Wolters Kluwer, Thieme; research grants from Arthrex, JRF, BioD LLC; and stocks from Cayenne Medical, ITS-US Implants, Alignmed. P.S. declares no conflict of interest. Reprints: Raffy Mirzayan, MD, Department of Orthopaedic Surgery, Kaiser Permanente, 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: March 2016 - Volume 17 - Issue 1 - p 43-48 doi: 10.1097/BTE.0000000000000066 Buy Metrics Abstract Several surgical treatments have been reported in the literature for the treatment of osteochondritis dissecans of the humeral capitellum, including arthroscopic debridement, microfracture, and transhumeral drilling; none of which restore a hyaline articular cartilage surface and are asssociated with poor return to sport. Osteochondral autograft transfer from the patient’s own knee or rib has also been described, which restores hyaline articular surfaces and has better outcomes, but may lead to donor site morbidity. We describe our ligament-sparing technique and clinical experience with the transplantation of fresh osteochondral allograft to treat unstable osteochondritis dissecans of the capitellum, namely in overhead athletes. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.