Abstract
The management of osteochondral lesions of the femoral trochlea is complex and controversial.
Treatment options include the microfracture technique, which is widely used and presents
good short-term outcomes despite evident long-term deterioration. As a result, different
augmentation techniques have been developed to favor a better quality of the new fibrocartilage
to improve medium- and long-term outcomes.
This case report presents a 44-year-old patient with an osteochondral lesion of the
femoral trochlea managed with a combined microfracture and augmentation technique
with a cartilage allograft matrix, with good clinical and image outcomes at an 18-month
follow-up. Next, we show an updated review of the literature regarding this topic.
Keywords
chondral lesion - femoral trochlea - microfractures - augmentation
