Osteochondral lesion of lateral tibial plateau with extrusion of lateral meniscus treated with retrograde osteochondral autograft transplantation and arthroscopic centralisation

Background Extrusion of the meniscus has been reported to be correlated with progression of osteoarthritis. In cases with osteochondral lesions after extrusion of the meniscus, meniscal transplantation was the only surgical intervention. Recently, a novel procedure called arthroscopic centralisation has been developed to restore the meniscus function by centralising the midbody of the extruded meniscus onto the rim of the tibial plateau using suture anchors. Case report A combination of novel techniques-retrograde osteochondral autograft transplantation to retain hyaline articular cartilage and arthroscopic centralisation to restore residual meniscal function-was used to repair an osteochondral lesion of the lateral tibial plateau possibly caused by extrusion of the lateral meniscus. Good clinical and radiographic outcomes were achieved at the 2-year follow-up. Conclusion A combination of retrograde osteochondral autograft transplantation and arthroscopic centralisation can be a good option to treat the osteochondral lesion of the tibial plateau caused by extrusion of the meniscus.