Reconstruction of a Lateral Femoral Condyle Articular Surface Defect with a Fresh Osteochondral Allograft

This 31 year old man sustained an intra-articular open distal femur fracture resulting in a significant osteochondral defect in his lateral femoral condyle. He underwent initial fracture reduction and fixation with a lateral distal femoral plate; the osteochondral defect was not recognized until more than a year later, when he developed further joint deterioration with resulting pain and disability. We chose to reconstruct the articular surface of the lateral femoral condyle with a fresh osteochondral allograft. A second procedure was subsequently undertaken to achieve more favorable joint alignment through an extra-articular supracondylar correctional osteotomy.