Abstract

Lower-extremity misalignment hastens the development of chondral and osteochondral knee lesions. In active young patients with bipolar osteochondral lesions, the bipolar fresh osteochondral allograft procedure is a useful salvage treatment option. Although the surgical technique is technically demanding and high reoperation and failure rates are expected, patients with surviving allografts show a significant clinical improvement. Careful patient selection is key to delivering desired results. In this review, we present and discuss recent surgical techniques and developments in bipolar fresh osteochondral allograft procedures.

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