Provided are procedures and instruments for preparing and transplanting
osteochondral allograft plugs to a host bone to repair an articular
cartilage defect. An allograft bone plug having a cartilage plate and
cancellous bone tissue attached thereto is removed from a donor bone. The
allograft plug is further shaped by removing or cutting away cancellous
bone tissue to form a cancellous stalk extending from the cartilage
plate. The formed cancellous stalk can have any suitable shape including
cylindrical, conical, and rectilinear. At the recipient site of the host
bone, a cutout is formed corresponding in shape to the allograft plug.
The allograft plug is inserted into the cutout such that the cancellous
stalk is retained in the host bone and the cartilage plate aligns with
the condyle surface of the host bone. Aspects of the invention may also
be applicable to preparing and transplanting osteochondral autograft
plugs.