Tibial plateu "Kissing Lesion" from a proud osteochondral autograft.
Knee osteochondral lesions can be debilitating. Multiple procedures have been used to manage these defects. Osteochondral autograft transplantation is one such option. Reported complications include donor-site morbidity, failed osteointegration, size mismatch, and incongruency. In this article, we report a case of graft incongruency of the medial femoral condyle that resulted in a full-thickness "kissing lesion" groove on the opposing medial tibial plateau. In an osteochondral autograft transplantation procedure, proper surgical technique is paramount to prevent placement of a proud autograft and avoid the difficult complication of associated tibial chondral defects.
University of Minnesota, Minneapolis, Minnesota, USA.
Michael R
MR
Johnson
Robert F
RF
LaPrade
D016025:Bone Transplantation / Q000295:instrumentation*; D002356:Cartilage / Q000637:transplantation*; D002358:Cartilage, Articular / Q000601:surgery*; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000473:pathology*; D007719:Knee Joint / Q000601:surgery*; D016348:Osseointegration; D011183:Postoperative Complications; D013977:Tibia / Q000473:pathology; D014182:Transplantation, Autologous; D055815:Young Adult