Osteoarticular Transplant System for Osteochondritis Dissecans of the Capitellum

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Osteochondritis dissecans (OCD) lesions are well described in the knee, as an array of surgical techniques to address them. OCD lesions of the elbow, specifically the capitellum, are a much less common occurrence, and consequently descriptions of treatment options are limited. We present a surgical technique for patients with advanced capitellar OCD, as confirmed by magnetic resonance imaging, causing significant disability and warranting surgical intervention. Use of an osteochondral autograft plug transfer system (eg, OATS, COR, or Mosaicplasty) offers advantages over microfracture in that it can be used to fill larger defects, and restores hyaline cartilage to the capitellar articular surface.

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