This is the surgical technique performed in a 36-year-old patient who, after a medial subtotal meniscectomy performed 4 years ago, began with invalidating medial knee pain. In this compartment she developed early osteoarthritis and a varus deviation of 4º. As such, the following surgical techniques were performed:

  1. a) FRESH osteochondral transplantation with the Arthrex BioUni instrumentation specifically designed for asymmetric lesions of the femoral condyles.
  2. b) Fresh medial meniscal transplantation.
  3. c) Open wedge high tibial osteotomy.