Osteochondritis dissecans (OCD) of the
humeral capitellum is a rare and challenging condition to treat.
Several surgical options exist, but in the last few years, the
pendulum has swung from debridement and microfracture to
restoration of the articular surface. Osteochondral autografts from
the rib and knee have been described, but donor-site morbidity is a
concern.
In conclusion, FOCAT is an excellent option
for treating OCD lesions of the humeral capitellum. Excellent
outcomes and high return-to-sport rates were observed, with midterm
follow-up showing no graft failures. FOCAT eliminates donor-site
morbidity.
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