. 2016 Feb 15;5(1):e157–e161. doi: 10.1016/j.eats.2015.10.015

Table 1.

Indications and Contraindications for Osteochondral Autograft Transfer System Procedure

Indications	Contraindications
Symptomatic full-thickness articular cartilage defect of >3 cm² Localized grade III or IV unipolar lesions of the femoral condyle, trochlea or patella Defects due to trauma, osteochondral dissecans, avascular necrosis, or intra-articular plateau fractures Young, high-demand patients who are not candidates for joint replacement Associated underlying subchondral bone defect	Absolute “Kissing” lesion More than minor peripheral osteophytes Joint-space narrowing Rheumatoid or corticosteroid induced osteonecrosis Relative Ligamentous instability (address it first) Malalignment (address it first or concurrently) Absence of >50% of the meniscus in the affected compartment (consider meniscal transplantation) Body mass index >30 kg/m²

Indications

Contraindications

Symptomatic full-thickness articular cartilage defect of >3 cm²
Localized grade III or IV unipolar lesions of the femoral condyle, trochlea or patella
Defects due to trauma, osteochondral dissecans, avascular necrosis, or intra-articular plateau fractures
Young, high-demand patients who are not candidates for joint replacement
Associated underlying subchondral bone defect

Absolute

“Kissing” lesion
More than minor peripheral osteophytes
Joint-space narrowing
Rheumatoid or corticosteroid induced osteonecrosis

Relative

Ligamentous instability (address it first)
Malalignment (address it first or concurrently)
Absence of >50% of the meniscus in the affected compartment (consider meniscal transplantation)
Body mass index >30 kg/m²