Has anybody had any experiences with osteochondral defects and had surgery
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Yup - lots! But where is yours? Talar dome (ankle)?
The old name for this condition used to be called osteochondritis dissecans. It could result from direct trauma or a localized loss of blood supply causing part of the bone to die (avascular necrosis). The dead bony fragment may break off and become dislodged in the the joint which may have to be removed surgically. It’s most common in the knee or ankle joint.
I don’t think it’s generally regarded as a complicated procedure.
There are a couple of ortho surgeons on the forum who can answer more about this procedure than I can.
I had what I was told was an osteochondroma which I believe is what you are also talking about. Mine was fairly big and sat under my ITB for years. I was told it was tendonitis and other stuff by GP’s and never sent to a specialist.
I finally saw one and had it removed suring a day surgery. Took a few hours with waking up from the general and all.
Hurt like a mofo for a few weeks, but like I said mine was big.
It helps thats for sure, I was even better than before after I healed.
B
NO! Totally different animals. On osteochondroma is a benign bone tumor arising from cartilagenous cells. An OCD is a flat sliver shape or more commonly, a saucer shaped piece of cartilate with subchondral bone inside of a joint, usually from trauma (either acute or more commonly, repetitive).
Good to know.
Then my experience is totally irrelevent.
Now I run away
B
Mine is of the ankle
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Common - These are classified according to Berndt and Hardy (stage I, II, III, etc.). Some are easy to remove with a simple arthroscopic approach (usually the more lateral ones), but others are hard to get at with a scope, and the ankle joint needs to be opened (or even worse, an osteotomy of the medial malleolus to get at the lesion). Your MRI and careful discussion with your specialist should guide your treatment/options. Simple osteochondritis dissecans (stage I lesion) may need nothing at all.
Good luck!
Thanks for the feedback, are you a doctor ? Do you know if this surgery is a last resort or can therapy help. I have been told that P/T will not help. Depending as you put it the stage of the injury will also depend on the recovery time too. Doing some research on line I get the opinion that the surgery will not last forever and may need to be done again.
Is your lesion loose? I had several debridements for loose bodies, and then a microfracture to repair the “hole” later in life. My microfracture was in 2002, and had failed by 2004. I now have several have full-thickness defects. FWIW, after the debridemnt to get rid of all the crap flating around, I ran on it for quite awhile. It wasn’t until I lost most of my meniscus that it got really ugly.
Mine is in my knee.
Has anybody had any experiences with osteochondral defects and had surgery
Why don’t you just “cowboy the F*** up” throw some duct tape around you ankle, quit crying like a little girl and get back on the bike!! jeeze
Thanks for the feedback, are you a doctor ? Do you know if this surgery is a last resort or can therapy help. I have been told that P/T will not help. Depending as you put it the stage of the injury will also depend on the recovery time too. Doing some research on line I get the opinion that the surgery will not last forever and may need to be done again.
No - PT will not help. You have a lesion through the cartilage and/or bone and it needs to be removed, debrided, shaved, etc. This is not one of those “last resort” type surgeries. The surg can be very easy to somewhat complex, depending on the lesion. Some people are running in just a few weeks after - again, discuss this w/ your surgeon (oh, and yes, I’m a physician who does these types of surgeries).
Thanks for the input and where is your practice. Some of the reviews I have read mentions it may come back after several years is this a reoccuring problem once it starts, due to an injury in this area or is the success rate just very low.
I’m in Cincinnati
It is not that the lesion that “comes back”, but once articular cartilage is damaged, it is permanent. You can not “regenerate” articular/synovial cartilage. It can be “replaced” by fibrocartilage (or metal or plastic for that matter), but it is not the same. Perhaps some day stem cell research will help this, but that is a long way from now with the current political arena.
The main reason for surgery for an OCD is to remove a “joint mouse” that is floating around the joint to prevent further joint injury. The other reason is, of course, a painful joint. If neither of these is present = no surgery for you. When the defect is removed, the “hole” or crater where it was is often drilled through the subchondral plate to stimulate fibrocartilage growth to help cover the exposed bony surface. Again, MUCH better than before, but not as good as a normal joint surface. The ankle joint is further complicated in that we do not have a reliable, good total ankle joint implant yet (unlike numerous ones for the knee/hip) that lasts or works worth a damn. Bad ankle arthritis patients basically suffer, take pills/steroid inj, seek out alternative therapies or have the joint fused in severe cases.
Just came from surgeon and he says it is a Stage 2 or 3 will know more when in there. He is suggesting chondral picks stedman and also taking supartz and going on glucosamine 500 mg and chondrotin 400 mg. Would this in your opinion be suggested ? Have I been doing more damage since i sprained it in january by still running on it ? and would you suggest that I stop running till surgery ? Thanks for your input.
Yes, stop running until surgery. The loose body rolling around in the joint can do more damage. The glucosamine/chondroitin won’t hurt and seems to help about 50% who try it (have to stay on for about 3 months to see though). Yes, remove boday, subchondral pick/drill, debride with a shaver the synovial “junk” seen, then rest.
Good luck!