Update on Treatment of Trochlear Chondral Lesions Based on a Clinical Case

Abstract

The management of osteochondral lesions of the femoral trochlea is complex and controversial. Treatment options include the microfracture technique, which is widely used and presents good short-term outcomes despite evident long-term deterioration. As a result, different augmentation techniques have been developed to favor a better quality of the new fibrocartilage to improve medium- and long-term outcomes.

This case report presents a 44-year-old patient with an osteochondral lesion of the femoral trochlea managed with a combined microfracture and augmentation technique with a cartilage allograft matrix, with good clinical and image outcomes at an 18-month follow-up. Next, we show an updated review of the literature regarding this topic.

Keywords

chondral lesion - femoral trochlea - microfractures - augmentation

Publication History

Received: 28 July 2023

Accepted: 30 November 2023

Article published online:
26 December 2023

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