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Osteochondral Defects (OCDs)

OSTEOCHONDRAL DEFECTs (OCD)

TREATMENT

Osteochondral defect treatment depends upon the cause and type of the lesion.  Generally asymptomatic and small lesions can be treated with observation and activity modification (such as avoiding sports).  Large and displaced OCDs do not heal by themselves and require surgery.  Similarly, if non – surgical management fails to resolve the lesion then surgery may be indicated.

SURGICAL OPTIONS

Surgery for OCDs may involve either arthroscopic (keyhole) surgery or open surgery depending upon the type of lesion involved.  Surgical Options include:

  • Removing the lesion
  • Drilling
  • Fixing with screws
  • Fixing with dissolving pins
  • Cartilage grafting from other areas of the knee
  • Cartilage grafting from donated cartilage

Dr Slattery will discuss these options in greater detail during your consultation

Cartilage Grafts (blue arrows) – “OATS” Procedure to fill the OCD

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