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The mean Lysholm score increased from 44.3 per operatively to 86.3 ( ).Tegner activity score improved from 2.8±1 pre operatively to 5.6±2 ( ). Surgical treatment of unstable OCD using autogenous osteochondral graft shows successful outcomes. In addition to reliable fixation, it can enhance healing and convert an uncontained lesion to contained one appropriate for autogenous osteochondral grafting with healthy cartilage. Surgical treatment of unstable OCD using autogenous osteochondral graft shows successful outcomes. In addition to reli