Arthrotomy for exposure was based on surgeon preference. Fresh osteochondral
tissue was obtained from JRF Ortho, using MRI for size matching. The tissue was
screened for absence of defects, aseptically harvested from donor knees, and
stored at 4°C in a proprietary solution. The corresponding sized allograft to
match the debrided osteochondral area of injury was prepared as described previously.30 (link)
The matched allograft was compared with the DA estimated area of injury.
Large oblong osteochondral defects were treated with the previously described
snowman technique of interposing 2 dowel grafts.26 (link)
No shell graft techniques were employed in patients in this study.
Concomitant knee pathology was also addressed.
Postoperatively, patients were allowed to immediately bear weight as tolerated in
a knee brace with crutch assistance, when concomitant procedures did not limit
weightbearing. Full active and passive knee range of motion was prescribed for
open-chain activity immediately and after brace removal with weightbearing.