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Patient Story · Video

A high-school football cartilage break, a failed reattachment — and a fresh donor plug that fit perfectly.

A lifelong CrossFit and football athlete describes the cartilage defect he sustained in 9th-grade football, the screws that backed out from the earlier reattachment, and the fresh osteochondral allograft transplantation by Dr. Gomoll that gave him a definitive solution.

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Transcript
I love to do CrossFit — it's a big part of my life. It can consist of anything from running to lifting weights. Ninth grade and high school football, I was hit in the knee — it broke off a piece of cartilage that was reattached by a previous doctor. Over a duration of time the screws backed out and created some damage in there. When they reattached it, the piece of cartilage ended up being a lower spot than it should have been. He's a young active guy who essentially lived in the gym and defined himself by being active and being healthy. He had surgery on his right knee a long time ago — he had some cartilage damage. It was fixed, but… it really didn't feel like I was getting explanations on what was going on with my knee and why things were happening and what I was experiencing. It wasn't just, sorry, we didn't see enough going on. So you kind of laid it out — maybe when you're here in your 50s or 60s we'll do a knee replacement. For him, the best was a cartilage transplant — and within cartilage transplants, what is called a fresh osteochondral allograft, meaning we take donor tissue. The damaged area in his knee I removed, and from the donor tissue I made a plug of bone and cartilage that fits the damaged area perfectly. He knows what he's doing, and he's a very confident surgeon. It's not just, we've got to go in and scope your knee and see what's going on — we're going to find out what's going on and then we're going to fix the problem.

In his words

A definitive answer after years of partial fixes.

I love to do CrossFit — it's a big part of my life. It can consist of anything from running to lifting weights. Ninth grade and high school football, I was hit in the knee — it broke off a piece of cartilage that was reattached by a previous doctor.

Over time the screws backed out and created some damage in there. When they reattached it, the piece of cartilage ended up being a lower spot than it should have been. It really didn't feel like I was getting explanations on what was going on with my knee and why things were happening and what I was experiencing.

“He knows what he's doing, and he's a very confident surgeon. It's not just, we've got to go in and scope your knee and see what's going on — we're going to find out what's going on and then we're going to fix the problem.” — Fresh OCA patient

For him, Dr. Gomoll said the best option was a cartilage transplant — and within cartilage transplants, what's called a fresh osteochondral allograft, meaning donor tissue. He removed the damaged area in my knee, and from the donor tissue he made a plug of bone and cartilage that fits the damaged area perfectly.

About the procedure

Fresh Osteochondral Allograft (OCA)

A "fresh" osteochondral allograft is donor bone and cartilage harvested from a tissue-matched donor and used within a limited time window to maintain the viability of the cartilage cells. Dr. Gomoll precisely removes the damaged area in the patient's knee, then shapes a matching plug from the donor tissue that fits the defect exactly — restoring the original joint surface contour and a healthy cartilage layer. More on cartilage repair →

When a Previous Repair Has Failed

This patient had a piece of cartilage reattached by a prior surgeon after a football injury. Over time, the fixation screws backed out and the cartilage settled below the joint surface — leaving a residual defect that continued to generate symptoms. Fresh OCA is the standard option for patients whose earlier cartilage procedure has failed but who are too young for joint replacement. Learn more →

Read more patient stories

Hear from more of Dr. Gomoll's patients in their own words about how they got back to the lives they love.