Regarding cartilage lesions and the different types of impairment there are variable options of treatment. Massive cartilage defects denote in the past very often the end of the career in high-performance athletes. Is there a surgical treatment for a possible re-entry?Case: A professional soccer player with medial femoral and tibial cartilage defect and varus malalignment was treated in our department with Microfracture combined with HTO opening wedge. After 13 month of rehabilitation he was able to completely participate in 2. league professional soccer. This case clarifies a possible re-entry to high-performance sports after cartilage repair including HTO. Regarding the variation of cartilage defects it is not possible to declare a golden standard for the treatment in high-performance athletes, but taking into account certain parameters, a return to a high sports level after major surgery is possible.
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