Jarret M. Woodmass, M. D. , F. R. C. S. C. , Heath P. Melugin, M. D

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Viable Osteochondral Allograft for the Treatment of a Full-Thickness Cartilage Defect of the Patella Jarret M. Woodmass, M.D., F.R.C.S.C., Heath P. Melugin, M.D., Isabella T. Wu, B.A., Daniel B.F. Saris, M.D., Ph.D., Michael J. Stuart, M.D., Aaron J. Krych, M.D. Arthroscopy Techniques Volume 6, Issue 5, Pages e1661-e1665 (October 2017) DOI: 10.1016/j.eats.2017.06.034 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Cartiform implant (Arthrex). Arthroscopy Techniques 2017 6, e1661-e1665DOI: (10.1016/j.eats.2017.06.034) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Intraoperative images of a left knee (supine positioning) with a lateral parapatellar arthrotomy. A 2 × 2-cm full-thickness cartilage defect on the undersurface of the patella is being prepared for Cartiform implantation. (A) A curette is being used to debride the pathologic cartilage to a stable border peripherally with removal of the calcified cartilage layer. (B) Microdrilling of the defect leaving 3- to 4-mm osseous bridges between drill holes (blue arrow). (LFC, lateral femoral condyle; QT, quadriceps tendon.) Arthroscopy Techniques 2017 6, e1661-e1665DOI: (10.1016/j.eats.2017.06.034) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Intraoperative images of the left knee (supine positioning) with a lateral parapatellar arthrotomy showing Cartiform implantation into a full-thickness cartilage defect on the undersurface of the patella. (A) A 2-mm hole is drilled for suture anchor placement (1 of 3 suture anchors). (B) A PushLock (Arthrex) anchor is being advanced into place after the suture has been passed through the implant. (black vertical arrow, PushLock anchor; blue horizontal arrow, Cartiform implant; QT, quadriceps tendon.) Arthroscopy Techniques 2017 6, e1661-e1665DOI: (10.1016/j.eats.2017.06.034) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Intra-operative images of a left knee (supine positioning) with a lateral parapatellar arthrotomy. A Cartiform implant has been secured into a 2 × 2-cm full-thickness cartilage defect on the undersurface of the patella. (blue horizontal arrow, Cartiform implant; LFC, lateral femoral condyle; QT, quadriceps tendon.) Arthroscopy Techniques 2017 6, e1661-e1665DOI: (10.1016/j.eats.2017.06.034) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions