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Using an Osteochondral Allograft Procedure for a Large, Unsalvageable Osteochondritis Dissecans Lesion in the Posterior Lateral Femoral Condyle: A Case Report

Year: 2025

Type: article

Abstract: Osteochondritis dissecans (OCD) is an acquired condition in which articular cartilage and subchondral bone become ischemic and necrotic. While not an uncommon etiology of medial adolescent knee pain, it infrequently forms in the lateral femoral condyle and even less so in the posterior lateral femoral condyle. In this case report, we describe the management of a 13-year-old boy with an OCD lesion in the weight-bearing portion of the posterior lateral femoral condyle. Initially managed nonoperatively, the patient ultimately required an arthroscopic microfracture procedure, followed by an osteochondral allograft (OCA) procedure. This case highlights the application of osteochondral allograft procedures for treating unsalvageable OCD lesions in atypical locations, demonstrating their efficacy in restoring joint function and enabling a return to physical activity.

Source: Cureus

DOI: 10.7759/cureus.90973

Authors: Timothy R Kanne, Jeffrey C McCloud, John R Lusk, Charles W Sanderlin

Institution: Edward Via College of Osteopathic Medicine

Language: English

Topic: Knee injuries and reconstruction techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413552372