Many of the worst ligament and cartilage injuries in professional sports are considered severe osteochondral defects. A 16-year-old male asked: i am 16 y/o and i had been having pain in my knee(for 4-5 years).my report says osteochondral defect with a loose body. These symptoms could include localized ankle pain, as well as discomfort on either the inside (medial talar OLT) or outside (anterolateral talar OLT) of the ankle. It is also known as Osteochondritis Dissecans and is common in the knee joint, especially in association with other injuries such as ACL tears. Discover The Solution To Your Biggest Knee Injury Challenge Even If You Have No Medical Knowledge and You’ve Looked Everywhere and Haven’t Been Able To Find an Answer! Osteochondral Lesion. Please note that as an Amazon Associate I earn from qualifying purchases. In skeletally immature patients, internal fixation of chondral only fragments may be attempted with sutures or suture anchors with reasonable success rates ( … Complications. An osteochondral cyst can also be present following surgery. This surgery may lead to a number of standard surgical complications such as: Infection Osteochondritis dissecans, particularly affecting the joints such as ankles, elbows, and knees tend to become more severe. OCD Lesion – Knee Arthroscopy with Cartilage Repair and Regeneration - Duration: 5:06. Knee Pain, Meniscal Tear Diagnosis & MRI - Everything You Need To Know - Dr. Nabil Ebraheim - Duration: 9:19. nabil ebraheim 107,911 views Share on Facebook. Patients can develop knee problems after this procedure. Dr. Hany Elrashidy - Orthopedic Surgeon 31,310 views When you have total knee replacement (TKR) surgery, recovery and rehabilitation is a crucial stage. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Microfractures, are often considered the first-line surgical treatment option due to the low costs and ease of the technique (34-38), while ACI is rather reserved as a salvage procedure (39-41, 45). should i go for a surgery ? I have OCD, and the bone is floating around in my knee. However, the larger the graft, the more likely it seems that it will collapse as a new blood supply is established into the graft after transplantation, Autologous chondrocyte transplantation (ACI): There has been an attempt to harvest a patient's own healthy cartilage, grow the cells in a lab, and then reimplant these cells back into the area where the cartilage has been lost. Pool therapy and bicycling are usually started within 2 weeks. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). I don’t feel any pain in my knee when I run and jump. The entire surgery takes about an hour and patients return home the same day. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). An OCD lesion involves the bone under the articular cartilage in part of the knee starting to die. We use cookies and other tools to enhance your experience on our website and Learn what your knee injury could be and find treatment options even if you have no medical knowledge and have looked everywhere for answers with no luck! The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. The gold standard for diagnosis of talar OLTs is an MRI of the ankle (Figure 3A and 3B). knee). Once the piece has broken off, surgery is almost always necessary. Posted on Dec 16th, 2017 / Published in: Ankle, Knee. Your ankle will be immobilized in a splint or cast when you wake up and your ankle will be elevated. o Cartilage and bone may be moved from an area of the knee that does not need it, this is called osteochondral transplantation, or ‘OATS’. (Color version of the figure available online.) The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Learn about the many ways you can get involved and support Mass General. A gradual return to sports may be possible after about 4 to 5 months. For osteochondritis dissecans (OCD) of the knee, avascular necrosis of subchondral bone can lead to fragmentation of bone and overlying cartilage [Figure 1]; osteochondral loose body formation may occur, leading to pain and further articular damage. Does the thought of seeing a doctor scare you? Full recovery can take 12-15 months although 80% of the recovery may be achieved within the first 6 months. General anesthesia wears off in about an hour and spinal anesthesia may take about two hours to wear off. Most osteochondral defects are caused by one of two events: Wear and tear over time; Injury from sports or physical activity: Injuries usually occur with a combination of twisting force and direct impact that damages the cartilage. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. Crutch use is required for 4 - 6 weeks after surgery. Autograft: A cartilage and bone from another site in the knee in the patient’s own body. Causes and Basic Symptoms. Rest– rest the affected joint as much as possible during the first 2 or 3 days (crutches may help if you've injured your knee or ankle), then try gradually returning to light activity over the next few days and weeks Recovery to full activity generally takes 4 - 6 months. Full recovery after knee microfracture surgery may take up to 6 months. Osteochondral Lesion Picture 2 – Osteochondral fracture of the femur. A password will be e-mailed to you. Early on the cartilage over this diseased bone is intact, but it can later break off with the underlying bone and float freely within the knee joint. Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina. Dr. Hany Elrashidy - orthopedic surgeon and sports medicine specialist in Charleston, South.. Knee ( and ankle ) have total knee replacement ( TKR ) surgery OCD! Often worse with activities osteochondral lesion knee surgery recovery time particularly running, walking and jumping may be possible after about 4 to 5.... Six months to a year overload due to malalignment or instability of the injury may include: our &. Osteochondritis dessicans can occur from an acute traumatic injury to the cartilage and the collected! 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