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Osteochondritis Dissecans (OCD) Repair

What is Osteochondritis Dissecans (OCD)?

OCD is a condition where a section of cartilage connected to underlying bone loses its blood supply and begins to separate from the remainder of the bone. This can cause pain and limitation in function, particularly in active children and adolescents. 

Symptoms and Diagnosis

  • Symptoms: Knee pain, swelling, and limited function

  • Diagnosis: Detailed assessment through physical examination and imaging (X-rays, MRI) 

How We Fix It

Depending on the stage of the OCD lesion, if non-operative treatment is unsuccessful, the lesion can be either drilled or repaired. In younger children with “stable lesions”, the lesion is drilled by passing a smooth pin across it to create new channels for vascularity and healing. This is less invasive than repair, but not possible for all patients. For “unstable lesions”, the cartilage and bone making up the lesion must be debrided and repaired back to their native location in order for it to heal.

What to Expect After OCD Repair

Depending on the specifics of the case, patients are generally non-weight bearing for six weeks to allow the lesion to heal after OCD surgery.  Patients typically attend physical therapy for a few months after the procedure, return to sports specific activity at around four months and all activities between six and twelve months. 

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