Osteochondral Allograft Transplantation for Full-Thickness Chondral Defect Utilizing BioUni Technique

Background: There are several techniques to treat chondral defects. Osteochondral allograft transplantation is an excellent option, and for elongated lesions, there are 2 techniques-the Snowman technique and the BioUni technique. Indications: Osteochondral allograft transplantation is indicated for...

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Bibliographic Details
Main Authors: Michael P. Campbell MD (Author), John Hayden Sonnier MS (Author), Kevin B. Freedman MD (Author)
Format: Book
Published: SAGE Publishing, 2022-06-01T00:00:00Z.
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Summary:Background: There are several techniques to treat chondral defects. Osteochondral allograft transplantation is an excellent option, and for elongated lesions, there are 2 techniques-the Snowman technique and the BioUni technique. Indications: Osteochondral allograft transplantation is indicated for active individuals with isolated, symptomatic full-thickness chondral defects without concomitant ligamentous injury or malalignment. Technique Description: The lesion on the native condyle is sized. A plug is then harvested from the allograft using a cutting block and sagittal saw. The recipient site is then prepared with an overlapping reamer system with a cutting block. Graft is then implanted in a press-fit manner. Results: Osteochondral allograft transplantation leads to improved patient-reported outcomes. The literature has demonstrated survival rates between 70% and 80% at 10 years. Discussion/Conclusion: Osteochondral allograft transplantation is a restorative cartilage treatment that has good clinical outcomes. The BioUni system is a good option for irregular or elongated lesions.
Item Description:2635-0254
10.1177/26350254221102459