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osteochondral lesion knee treatment

Treatment of osteochondritis dissecans is intended to restore the normal functioning of the affected joint and relieve pain, as well as reduce the risk of osteoarthritis. Patient- and lesion-specific factors must be identified when evaluating a patient with an articular cartilage defect. Trauma, osteochondritis dissecans, osteonecrosis, osteochondroses, and hereditary epiphyseal abnormalities can cause osteochondral lesions in the knee joint.25, 61, 62, 72 When an osteochondral defect persists in a weightbearing portion of the knee joint, degenerative arthritis of that compartment can result. Multiple treatment options are available for both traumatic osteochondral injuries and OCD lesions, with important determining factors of treatment being skeletal maturity of the patient, instability of the fragment, lesion location, and size of the lesion. For small-sized defects with intact cartilage, our treatment of choice is Retrograde Drilling of the lesion and filling it with a special bone cement. Introduction. Osteochondral fracture of the lateral femoral condyle is a rare injury of the knee joint, which mostly occurs in adolescence 1.In adolescence, the cartilage‐bone interface is the weakest transitional area in the knee joint, and there is no obvious boundary between calcified and uncalcified cartilage 2.The biomechanical strength of immature osteochondral junction was lower … Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. Therapy When filling osteochondral defects in the knee, surgeons have a list of treatment options to choose from and more options are in the works. [2] That process can lead to pain, loose body formation and joint effusion.[1]  This allows us to treat the bone defect without affecting the cartilage. cartilage injury with associated subchondral fracture but without detachment No single treatment works for everybody. Regardless, each osteochondritis dissecans lesion must be followed until osseous integration is confirmed by imaging -otherwise, progression of disease to osteoarthritis is likely.” Treatments. An Osteochondral lesion is diagnosed through a physical examination, and radiographic or MRI studies. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. Treatment depends upon the size of the osteochondral defect and the condition of the overlying cartilage. Treatment may include activity modification, drilling, fixation, or osteochondral replacement of osteochondritis dissecans lesions in the knee. In the management of large cartilage defects, the two classically utilized cartilage restoration procedures are osteochondral allograft (OCA) transplantation and cell therapy, or autologous chondrocyte implantation (ACI). Once the diagnosis is made, your doctor will recommend rest, ice, compression, elevation, pain medications, and assistive devices such as crutches or a wheelchair. An osteochondral lesion may also be known as an osteochondral defect. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management.. stage I. injury limited to articular cartilage; MRI findings: subchondral edema; x-ray findings: none; stage II. Treatment. [1] This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space. In children whose bones are still growing, the bone defect may heal with a period of rest and protection. 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