Therefore, further studies are needed to confirm these encouraging, but preliminary results, and to determine whether longer follow-up will show similar results for all of these techniques or some evidence of the clear superiority of one of these options over the others. Is Your Knee Pain Coming From a Meniscus Tear or Ligament Strain/Tear? Design: Osteochondral lesions (2.0 × 1.5 cm) were chiseled out on both condyles and trochlea in eight human cadaveric knees. Methods Fifty-three patients (54 knees) with MRI-docu-mented osteochondral lesions were treated with MACI . Particular care should also be taken during the implantation of the graft to ensure that once the graft is in place, its articular surface is not positioned higher or lower than the level of the surrounding articular cartilage. Arthroscopic synovectomy to remove the entire diseased synovium was performed along with curettage of the cyst, which resulted in a large osteochondral defect. We came across this case where a knee diffuse PVNS had invaded the bone, thus causing a conundrum in diagnosis. To date, some osteochondral biomimetic scaffolds have been tested in clinical practice. We will discuss the techniques and associated clinical outcomes for each, while including a brief mention of alternative treatments. Franz König coined the term osteochondritis dissecans in 1887, describing it as an inflammation of the bone–cartilage interface. An osteochondral lesion is a defect in the cartilage of a joint and the bone underneath. Drilling, open or arthroscopic fixation, fragment excision, microfractures, osteochondral grafting (with autograft or allograft) and autologous chondrocyte implantation (ACI) have been described as suitable treatment options. 36(8) 891–900 Large, focal articular cartilage defects of the knee (> 4 cm) can be a source of significant morbidity and often require surgical intervention. surgery. Clinics in Sports Medicine, January 1999, Vol. Osteochondral lesions cause significant pain, discomfort, swelling, and reduced function in the knee joint. Osteochondral defects are most commonly found in the thighs, shins and knees – areas that bear a lot of weight. OCD Lesion – Knee Arthroscopy with Cartilage Repair and Regeneration - Duration: 5:06. Dr. Hany Elrashidy - Orthopedic Surgeon 31,310 views Damage such as small tears and fractures can be referred to as osteochondral lesions. Surgical treatment options for the management of focal chondral and osteochondral lesions in the knee include biological solutions and focal metal implants. An osteochondritis dissecans (OCD) lesion is seen prior to treatment. Loose body is common: Talk to your dr. As loose body is very common. Klinger HM, et al. Surgical treatment options for the management of focal chondral and osteochondral lesions in the knee include biological solutions and focal metal implants. The procedure involves a single surgical session, is inexpensive, uses an arthroscopic approach (with the exception of the mini-incision used to obtain bone from the proximal aspect of the tibia) and has minimal donor site morbidity. Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. [2,3] Unfortunately, the poor healing potential of hyaline cartilage limits injury management. A recent paper that my colleagues and I published in The Journal of Bone and Joint Surgery in 2012 reported the results of five different techniques to treat OCD. Injuries in female and male elite Korean rowing athletes: an epidemiological study. No conclusive indication of the superiority of one technique over the other was demonstrated in this trial. Outcomes of osteochondral lesions of the knee repaired with a bioabsorbable device. Dr. Veena Govila answered. 1. 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