Arthroscopic Management of Isolated Tibial Plateau Defect With Microfracture and Micronized Allogeneic Cartilage–Platelet-Rich Plasma Adjunct

• DOI: 10.1016/j.eats.2017.06.018
• Publication Date: 2017-09-19T09:46:12Z
• Authors: Kevin C. Wang; Rachel M. Frank; Eric J. Cotter; David R. Christian; Brian J. Cole
• Keywords: FEMORAL CONDYLE

Articular cartilage lesions of the tibial plateau are an uncommonly encountered clinical entity, and they have been comparatively less well studied than femoral condyle or patellofemoral defects. The management these is complicated by challenging geometry, difficult surgical approach, proximity to important anatomic structures, thus, treating previously established methods, such as osteochondral allograft transplantation autograft transfer, can be a technically endeavor. These remain readily available undergo microfracture, this preferred method in senior author's practice. Although invasive other techniques, microfracture currently limited concerns over long-term durability method. Current research seeks improve quality fill stimulated adjunct techniques become increasingly popular. In technical report, we present technique for arthroscopic treatment isolated defect with using micronized allogeneic (BioCartilage; Arthrex, Naples, FL) platelet-rich plasma adjunct.