{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T14:41:49Z","timestamp":1792334509383,"version":"4.4.0"},"reference-count":12,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Subchondral insufficiency fracture of the knee, previously known as spontaneous osteonecrosis of the knee, commonly affects the medial femoral condyle and may progress to subchondral collapse and eventually osteoarthritis. Joint\u2010preserving options for focal medial femoral condyle lesions remain limited, particularly in middle\u2010aged patients with concomitant meniscal pathology. We describe an all\u2010arthroscopic technique using autologous minced cartilage implantation to treat a focal chondral defect overlying a medial femoral condyle subchondral insufficiency fracture of the knee. After diagnostic arthroscopy and meniscal repair, unstable cartilage is debrided to stable margins; the debrided cartilage is harvested and mixed with platelet\u2010rich plasma to form a composite. The defect is filled with the composite, which is then stabilized using fibrin sealant. The procedure provides a cost\u2010effective, minimally invasive solution with no donor site morbidity to treat subchondral insufficiency fracture of the knee with the aim of joint preservation.<\/jats:p>","DOI":"10.1002\/atn2.70269","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:22:40Z","timestamp":1789572160000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Autologous Minced Cartilage Implantation for Subchondral Insufficiency Fracture of the Knee"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8071-0392","authenticated-orcid":false,"given":"Eugene Pak\u2010Lin","family":"Ng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Hin\u2010Lun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith Hay\u2010Man","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine Yuen\u2010Shan","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin Kwun\u2010Hung","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Tin\u2010Sui","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Kwong Wah Hospital  Yaumatei Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11604-021-01224-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12271"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11236943"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0872-2"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.51894\/001c.11767"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241297970"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.06.025"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103897"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12796"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.07.020"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43019-025-00285-2"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/19476035221118419"}],"container-title":["Arthroscopy 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