How is osteochondral defect treated?

The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision combined with curettage and microfracturing, filling of the defect with autogenous cancellous …

What is osteochondritis dissecans ankle?

Overview. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.

What happens if osteochondritis dissecans is left untreated?

If left untreated, osteochondritis dissecans can damage the cartilage in the joint, and loose pieces of bone and cartilage may even break off into the joint. In the long term, untreated osteochondritis dissecans can also lead to arthritis. Osteochondritis dissecans most commonly affects the knee, ankle and elbow.

How long does osteochondritis dissecans take to heal?

The loose piece can break away completely from the end of the bone. Osteochondritis dissecans happens most often in the knee, elbow, or ankle. It usually takes 3 months or longer to heal completely. If it heals completely, kids who have it usually don’t have any long-lasting problems.

What causes osteochondral defect in ankle?

An osteochondral ankle defect is a lesion of the talar cartilage and subchondral bone mostly caused by a single or multiple traumatic events, leading to partial or complete detachment of the fragment. The defects cause deep ankle pain associated with weightbearing.

Can osteochondritis dissecans be cured?

Living with osteochondritis dissecans But they might not be able to keep playing sports with repetitive motions, such as pitching in baseball. Adults are more likely to need surgery. They are less likely to be completely cured of the condition.

Does osteochondritis dissecans require surgery?

Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Surgical treatment is indicated mainly by lesion stability, physeal closure, and clinical symptoms.

Can osteochondritis dissecans heal itself?

For most kids and young teens with osteochondritis dissecans, the bone can heal on its own with rest and by protecting the joint. This might mean your child has to wear a splint, cast, or brace or use crutches for a few weeks. Another option is physical therapy to strengthen the joint and improve how well it moves.

How long does it take to recover from OCD ankle surgery?

Osteochondritis Dissecans Surgery Recovery On average, it can take about eight weeks before bones and soft tissues heal. You will need to wear a cast during this time. Eventually, you may need to go to physical therapy to rebuild strength and to help heal bones, muscles, ligaments and tendons.

Do osteochondral lesions heal?

Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts.

What causes OCD in ankle?

OCD is characterized by a loss of blood supply to one or more bones in the ankle, which may result in a fracture or break within the ankle joint. It often occurs after an injury such as a sprain or trauma to the foot and ankle. The severity of OCD depends on whether the fragmented bone stays in place or detaches.

What is the best treatment for ankle osteochondral lesions?

Ankle osteochondral lesion treatment will depend on the severity of the injury. Nonsurgical treatments include immobilization of the joint by placing it in a cast or boot which protect the talus and allow it to heal properly. Nonsteroidal anti-inflammatory medications ( NSAIDs ), such as ibuprofen,…

What is ankle OCD?

Ankle OCD. Description. Osteochondritis dissecans (OCD) is a localized injury or condition affecting an articular surface that involves separation of a segment of cartilage and subchondral bone (Schenck, 1996).

What is osteochondritis dissecans or OCD lesions?

What is osteochondritis dissecans (OCD)? A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated.

What is osteochondritis dissecans (OCD) of the talus?

A Patient’s Guide to Osteochondritis Dissecans of the Talus Introduction. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Anatomy. Where does OCD develop? Causes. How does OCD develop? Symptoms. What does OCD feel like? Diagnosis. How will the doctor know it’s OCD? Treatment. Nonsurgical Treatment. Surgery. Rehabilitation. Nonsurgical Rehabilitation.