1. Tibial Allograft Transfer for Medial Tibial Plateau Resurfacing
Jonathan A. Godin, M.D., M.B.A., Salvatore Frangiamore, M.D., M.S., Jorge Chahla, M.D., Mark E. Cinque, M.D., Nicholas N. DePhillipo, M.S., A.T.C., O.T.C., Robert F. LaPrade, M.D., Ph.D. 
Arthroscopy Techniques 
Volume 6, Issue 3, Pages e661-e665 (June 2017)
DOI: /j.eats
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Preoperative coronal magnetic resonance imaging (t2) demonstrating a medial subluxated femur; diffuse, full-thickness chondral defects along the medial femoral condyle and medial tibial plateau (MTP) with a concomitant depression. MM: medial meniscus. Importantly, associated edema can be seen in the medial compartment.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Intraoperative picture of a left knee after an osteochondral allograft transplant (OAT) of the medial femoral condyle (MFC). Of note, double bundle posterior cruciate ligament (PCL) tunnels are observed in both the femur and the tibia and the Gore smoother (Smith and Nephew) can be seen exiting the PCL tibial tunnel.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
The affected medial tibial plateau is measured and resected approximately 1 cm below the chondral surface in a left knee. A series of saws and osteotomes are used to perform a clean cut of the tibial surface while carefully protecting the posterior structures by anteriorly subluxing the tibia.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Resected medial tibial plateau after rasping to a smooth recipient surface on a left knee. Note the probe passing through the anterior cruciate ligament reconstruction tibial tunnel. Predrilling tunnels for cruciate ligament reconstructions optimizes allograft contouring while facilitating cruciate ligament reconstruction graft passage.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
Two horizontal mattress sutures (2-0 FiberWire Meniscus Repair Needles, small, Arthrex) are placed through the posterior horn of the meniscal allograft for later repair to the capsule on a left knee.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Intraoperative photo following fixation of the medial tibial plateau allograft on a left knee. Note the position of the 4.0-mm headless compression screws (Compression FT, Arthrex) at the cartilage-bone interface to avoid irritation.
Arthroscopy Techniques 2017 6, e661-e665DOI: ( /j.eats )
Copyright © 2017 Arthroscopy Association of North America Terms and Conditions