{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:34:53Z","timestamp":1789544093630,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":160,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    Our work describes the use of matrix\u2010induced autologous chondrocyte implantation (MACI) for a lateral tibial plateau osteochondral defect, in the setting of a concomitant meniscus repair and anterior cruciate ligament (ACL) reconstruction. To our knowledge, there is minimal research describing the application of MACI for cartilage defects of the tibial plateau, which brings about its own challenges.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A 26\u2010year\u2010old male presented with lateral right knee pain and instability following a soccer injury. A bucket\u2010handle lateral meniscus tear, 2\u2009cm by 2\u2009cm osteochondral defect of the lateral tibial plateau, and complete ACL tear were identified on magnetic resonance imaging (MRI). Our case vignette describes a two\u2010stage MACI procedure for an osteochondral defect of the lateral tibial plateau with concurrent all\u2010inside meniscus repair and ACL reconstruction using bone\u2010patellar tendon\u2010bone (BTB) autograft.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Follow up period was 20 months with excellent patient satisfaction and resolution of pain. Outcome measures (International Knee Documentation Committee (IKDC)) and Knee Injury and Osteoarthritis Outcome Score (KOOS) returned to preinjury levels at 8.5 months. Return to sport was achieved at 10 months postoperatively.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The miniopen MACI procedure provides a logistically reasonable technique mitigating the anatomic challenges of tibial plateau osteochondral defects and potentially providing improved long\u2010term outcomes. It is our hope that this work will contribute to the current understanding of the treatment options for osteochondral defects of the tibial plateau.\n                  <\/jats:p>","DOI":"10.1155\/cro\/5136390","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T07:49:28Z","timestamp":1749541768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of Isolated Tibial Plateau Defect in the Setting of Anterior Cruciate Ligament Reconstruction and Meniscus Repair: A Case Report and Review of the 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