Periosteal transplantation in the treatment of osteochondritis dissecans

Osteochondritis dissecans in the femoral condyle of the knee in 3 patients was treated with periosteal transplantation. The cavities were curetted to cancellous bone and a tibial periosteal graft was lined to the excavation and fixed with human tissue glue (Tisseel R). By clinical and radiographic follow-up, we find this modality of treatment as a hopeful prospect in severe cases, though a demarcation of indication is still a challenge for investigation.