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One frequently discussed downside of cell\u2010based strategies, including particulated juvenile allograft cartilage and matrix\u2010induced autologous chondrocyte implantation, is the associated cost. Markov modeling is a tool used for economic modeling of different treatments and may be a viable option to compare cell\u2010based strategies for patellar chondral defects. Too many assumptions carry great risk of drawing a strong conclusion. 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