Arthroscopic Antegrade Cancellous Bone Autotransplantation for Osteochondral Lesions of the Tibial Plafond

Abstract

Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. We introduce a technique of arthroscopic antegrade cancellous bone autotransplantation; fibrocartilage regeneration can be expected for the cartilaginous lesion while bony lesion is replaced with the normal bone using this technique.