Cartilage Repair Technique - Skeletally Mature
We are unable to recommend for or against a specific cartilage repair technique in symptomatic skeletally mature patients with an unsalvageable OCD lesions.

Rationale
There are many different cartilage repair techniques including autologous chondrocyte implantation, osteochondral transplantation using allograft or autograft, and marrow stimulation techniques such as abrasion arthroplasty and microfracture. There were four Level IV studies that addressed cartilage repair techniques for an unsalvageable OCD lesion. Since each of these Level IV articles utilized different techniques, different outcome measures and differing lengths of follow-up, the work group deemed that the evidence for any specific technique was inconclusive. 

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