Mosaicplasty Using Grafts from the Upper Tibio-fibular Joint - the Porto GUT Technique

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Mosaicplasty Using Grafts from the Upper Tibio-fibular Joint - the Porto GUT Technique

By João Espregueira-Mendes 3 Videos

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July 12, 2019

We present the mosaicplasty procedure harvesting autologous osteochondral plugs from the upper tibio-fibular joint to ...
read more ↘ repair articular cartilage defects. With this technique, we can achieve low or no risk of donor-site morbidity, resulting in a safe and favorable option to treat large cartilage defects. Due to its low size-related restrictions, it enables to harvest larger plugs (up to a total of 5 cm2) without any additional iatrogenic complications. Thus, it is possible to create up to 6 osteochondral plugs of 6 mm each.

The mosaicplasty using the Porto GUT technique can overcome many of the reported complications associated with the osteochondral autograft harvesting. Thus, the upper tibio-fibular joint articular surface should be considered as a safe and reliable autograft source for harvesting osteochondral plugs.
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