A 10-year follow-up of autogenous osteochondral transplantation combined with medial opening-wedge high tibial osteotomy for large medial femoral condyle chondral delamination: A case report
Takuma Kaibara1
, Eiji Kondo2, Akihito Sotome1, Takaaki Fukui3, Masatake Matsuoka1, Koji Iwasaki2, Tomohiro Onodera1, Daisuke Momma2, Norimasa Iwasaki1
1Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
2Centre for Sports Medicine, Hokkaido University Hospital, Sapporo, Japan
3Naganuma Orthopedics and Rehabilitation Medical Institution, Hokkaido, Japan
Keywords: Autogenous osteochondral transplantation, cartilage repair, chondral delamination, high tibial osteotomy, knee surgery, patellofemoral joint.
Abstract
Chondral delamination, characterized by separation between the articular cartilage and subchondral bone, commonly affects middle-aged adults and can evolve into cartilage defects. Management of extensive chondral delamination presents a significant challenge, particularly in preserving the delaminated yet structurally intact cartilage. Despite its clinical importance, there is no standardized treatment protocol for this condition, and there are few long-term follow-up studies of its surgical management. This case report presents the long-term clinical and radiological outcomes of a novel combined surgical approach for large chondral delamination in a neutrally aligned knee, and discuss the benefits and potential complications of this treatment strategy. In conclusion, autogenous osteochondral transplantation combined with medial opening-wedge high tibial osteotomy shows excellent long-term functional outcomes for large medial femoral condyle chondral delamination.
Citation: Kaibara T,Kondo E, Sotome A, Fukui T, Matsuoka M, Iwasaki K, et al. A 10-year follow-up of autogenous osteochondral transplantation combined with medial opening-wedge high tibial osteotomy for large medial femoral condyle chondral delamination: A case report. Jt Dis Relat Surg 2025;36(2):i-xii. doi: 10.52312/jdrs.2025.2215.