Surgical Treatment of a Tibial Osteochondral Defect With Debridement, Marrow Stimulation, and Micronized Allograft Cartilage Matrix: Report of an All-Arthroscopic Technique

J Foot Ankle Surg. Mar-Apr 2016;55(2):279-82. doi: 10.1053/j.jfas.2014.07.011. Epub 2014 Sep 8.

Abstract

Although talar dome osteochondral lesions (OCLs) are common injuries, OCLs of the tibial plafond are relatively infrequent. These lesions have historically been managed in a similar manner to talar OCLs, with most treated with debridement and marrow stimulation. This treatment has had mixed results. The present case report describes a patient who underwent an all-arthroscopic surgical technique consisting of debridement and marrow stimulation with application of micronized allograft cartilage matrix (BioCartilage(™), Arthrex, Naples, FL).

Keywords: BioCartilage™; articular surface; microfracture; osteochondral lesion; tibia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Allografts
  • Ankle Joint / diagnostic imaging
  • Ankle Joint / surgery
  • Arthralgia / diagnostic imaging
  • Arthralgia / etiology
  • Arthroplasty, Subchondral / methods*
  • Arthroscopy
  • Bone Diseases / complications
  • Bone Diseases / surgery*
  • Bone Marrow / surgery*
  • Cartilage / transplantation*
  • Cartilage Diseases / complications
  • Cartilage Diseases / surgery*
  • Debridement
  • Female
  • Humans
  • Tibia / surgery*