Eventually, there is too much pain to put full weight on that knee. The elbow and ankle are the next most common joints affected. The condition can be mild, moderate, or severe. knee (most common) ... World Series of Surgery OCD Lesion: Diagnosis, Evaluation and Management - Geoffrey Van Thiel, MD (CSMS #45, 2018) Knee & Sports - Osteochondritis Dissecans A … Once your treating physician confirms that an OCD is present on X-ray, and that there is no evidence to suggest a second diagnosis as the source of pain, treatment should begin with further diagnostic evaluation and rest. 1. You will be asked about your current symptoms and about other knee or joint problems you have had in the past. For unstable yet salvageable OCD lesions, the senior author's preferred treatment is fixation with bone grafting. Related Document: A Patient’s Guide to Osteoarthritis of the Knee. Stable lesions will be left alone to heal, although unstable lesions may be surgically fixed back in place. How does Dr. Kiritsis identify this problem? OCD can occur any time from early adulthood on, but most patients are adults under age 50. In this case, bone material is transplanted into the hole left in the bone. It involves using cartilage cells (chondrocytes) to help regenerate articular cartilage. Most areas of scientific inquiry concerning the knee revolve around the major ligaments and our knowledge of these injuries is so far advanced that often the remaining questions are minor fine-tuning. Mild OCD: A piece of bone has begun to separate from the joint, but this piece is still firmly held in place by a covering of cartilage (dense elastic tissue that helps cushion the joint). Osteochondritis Dissecans (OCD) of the Knee Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina. OCD and JOCD cause the same symptoms. Related Document: A Patient’s Guide to Knee Anatomy. If the OCD does not heal or if it is unstable, surgery will be recommended. An autograft is a procedure for grafting tissue from the patient’s own body. The bone is usually obtained from a bone and tissue bank. If the arthroscope can be used, the procedure requires smaller incisions than for an open surgery. Even with surgery, OCD often requires a long period of rest from sports to allow for healing. These symptoms are fairly common in athletes. Eric W. Edmonds, M.D., is a pediatric and adolescent orthopedic sports medicine specialist at Rady Children’s Hospital-San Diego and an assistant professor at UC San Diego. This means stopping exercise and sports. Your therapist may issue shock-absorbing shoe insoles to reduce impact and protect your knee joint. I am currently stuck at home with my leg elevated, with ice on the ace bandage. The first few physical therapy treatments are designed to help control the pain and swelling from the surgery. The leading thought as to why knee OCD happens relates to the thin layer of growth cartilage that caps the end of long bones, such as the femur or thigh bone. It also means that the lesions cause pain and problems when walking and putting weight on the knee. Dr. Kiritsis may want to reevaluate the knee and may suggest additional tests if your symptoms change. I have just had surgery to treat OCD (osteochondritis dissecans) of my left knee. If there is no improvement in the X-rays or the symptoms, then surgery may be beneficial. See osteochondritis dissecans article for a general discussion. Usually, the donor site for this procedure is on the joint surface of the injured knee. OCD Lesion – Knee Arthroscopy with Cartilage Repair and Regeneration. This is one cause of degenerative arthritis and osteoarthritis. The problem occurs where the cartilage of the knee attaches to the bone underneath. Open surgery usually requires larger incisions than arthroscopic surgery to allow the Dr. Kiritsis to see into the knee and perform the operation. Even in JOCD, surgery may eventually be required. To know more please visit http://www.hanyelrashidymd.com/ Without blood flow, the area of damaged bone actually dies. Look for information on OCD, different OCD, cases & research on OCD. With the exception of arthroscopic removal of a loose body, patients are instructed to avoid putting too much weight on their foot when standing or walking for up to six weeks. Both problems usually start with a mild aching pain. Ideally, patients will be able to resume their previous lifestyle activities. These tests are important because Dr. Kiritsis needs to know the exact location and the size of the lesion to determine what kind of surgery will work best. They are similar to the symptoms of sprains, strains, and other knee problems. This sometimes proves difficult. Children with the better prognosis can be treated conservatively at first. OCD is a type of osteochondrosis in which a lesion has formed within the cartilage layer itself, giving rise to secondary inflammation. The cases of OCD that are first diagnosed in early adulthood probably began as JOCD. Patients are strongly advised to follow the recommendations about how much weight is safe. The American Academy of Orthopaedic Surgeons (AAOS) approved this clinical practice guideline on December 4, 2010. Midlothian Orthopedic Surgeon, Dr. Paul Kiritsis, is dedicated to providing you with a pleasant visit. If a lesion is seen the contralateral knee should also be xrayed. This means that the problem area is under constant stress and doesn’t get time to heal. About 85% of knee lesions are on the medial femoral condyle. This requires a period of activity modification and even bracing or casting during this rest period. If I have an OCD of my knee, what is the chance that I will have an OCD of another joint? Patient Question: My 13 year old son has been diagnosed with OCD of the patella, although I am very confused as to what this means. Osteochondritis dissecans, often called OCD for short, is a condition that causes loosening of cartilage and its supporting bone. Some patients who are too near the end of bone growth may not benefit with nonsurgical treatment. The summation of these MRI findings may be predictive of OCD progression or ability to heal without surgery. Surgery is usually the only effective treatment for OCD. Many people who develop OCD don’t have any particular risk factors. Signs and symptoms. A joint surface damaged by OCD doesn’t heal naturally. Osteochondritis Dissecans of Knee (OCD) What is osteochondritis dissecans (OCD)? The goals of treatment for Osteochondritis Dissecans are to reduce pain, restore the continuity of the articular surface, and decrease the likelihood of future degenerative joint disease (osteoarthritis). Dr. Kiritsis may try to fill in the hole using an allograft. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. The articular cartilage surface may be intact or may be breached allowing communication of the joint fluid with the bone. In the child who is still growing, the problem is much more likely to heal itself. A joint surface damaged by OCD doesn’t heal naturally. The area of bone just under the cartilage surface is injured, leading to damage to the blood vessels of the bone. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body. These tests may help determine the extent of damage from OCD and JOCD, and they also help rule out other problems. Children as young as nine or ten can develop this condition. Introduction. This may result in separation and instability of a segment of cartilage and free movement of these osteochondral fragments within the joint space.That process can lead to pain, loose body formation and joint effusion. Many cases of JOCD can be completely healed with careful treatment. You may be advised to avoid heavy sport or work activities for up to eight weeks. This technology looks promising for treating JOCD and OCD but is still very much experimental. Surgery may include removing or fixing loose pieces, or stimulating the OCD to heal by drilling it with a small wire. Moving the knee becomes painful, and it may be swollen and sore to the touch. Osteochondritis Dissecans (OCD) of the knee is an acquired, reversible, idiopathic condition of the subchondral bone. If the loose bone fragment is in a weight-bearing area of your bone, Dr. Kiritsis may try to reattach it if  possible. Open surgery is needed when Dr. Kiritsis can’t get a picture of the entire lesion, when it is unclear how the fragment would best fit into the bone, or when it would be too difficult to replace the fragment using the arthroscope. He will then examine the painful knee by feeling it and moving it. It occurs when a small segment of bone begins to crack and separate from its surrounding region due to a lack of blood supply. You will also be shown strengthening exercises for the hip and knee to help steady the knee and give it additional protection from shock and stress. OCD most often occurs in the knee joint, although it can also occur in other joints including the ankle and the elbow. He loves discussing and writing about sports & exercise injuries, and has been featured in major media publications over … AP films alone may miss a lesion on the posterior aspect of the medial femoral condyle. If OCD of the knee is suspected, AP, lateral, notch-view (knee in flexion) and skyline patella xrays should be ordered. This can cause a snapping or catching feeling as the knee joint moves across the notched area. Articular cartilage is a smooth, rubbery covering that allows the bones of a joint to slide smoothly against one another. When the lesion has become so bad that it detaches totally or partially from the bone, nonsurgical treatment will not work. The symptoms start out mild and grow worse with time. When a person gets OCD later in life, it is probably a brand new problem. Even with the treatment, some patients continue to have symptoms or their bone scans show signs that the damage is getting worse. Like most joint surfaces, the femoral condyles are covered in articular cartilage. Osteochondritis dissecans is an idiopathic disease which affects the subchondral bone and its overlying articular cartilage due to loss of blood flow. 3. Dr. Kiritsis may use tiny metal pins or screws to hold the fragment in place. Treatments & Surgery. The damage to the joint surface affects the way that the joint works. During that time, it is crucial to stop doing everything that causes pain to the knee. Exercises are chosen to help improve knee motion and to get the muscles toned and active again. OCD will probably never completely heal, but it can be treated. Physical therapists will also work with patients to make sure they are only putting a safe amount of weight on the affected leg. Nonsurgical treatments help in about half the cases of JOCD. Click here for a PDF of the PT Protocol Protocol: NOTE: Time frames below are provided for reference, but should not be used as criteria to progress each patient to the subsequent phase of rehabilitation. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. In this case, Dr. Kiritsis grafts a small amount of bone (osteo) and cartilage (chondral) from the donor site to put into the lesion. This video demonstrates the treatment of an unstable osteochondritis dissecans (OCD) lesion of the knee. This may hurt, but it is important that Dr. Kiritsis knows exactly where and when your knee hurts. The goal of nonsurgical rehabilitation is to help you learn ways to protect the injured area of cartilage while improving knee motion and strength. Patients often work with physical therapists to develop an exercise program. Dr. Kiritsis will have you work with a physical therapist for four to six to twelve weeks. Like a machine that is out of balance, over time this imbalance can lead to abnormal wear and tear on the joint. The authors' preferred treatment algorithm for osteochondritis dissecans (OCD) of the knee is based on skeletal maturity, OCD lesion stability, and OCD lesion salvageability. The highest rates of OCD appear among patients between 10 and 15 years old, ranking among the most common causes of knee pain and dysfunction in teenagers.5,30,35 The prevalence of OCD is estimated at 15 to 21 per 100 000.27 Lesions most fre-quently occur … The goal of surgery is to get the piece of bone to heal. They may require a walker or pair of crutches for up to six weeks to avoid putting too much pressure on the joint when they are up and about. The next test is a magnetic resonance imaging (MRI). It most commonly affects the knee joint (75% of cases). The leading thought as to why knee OCD happens relates to the thin layer of growth cartilage that caps the end of long bones, such as the femur or thigh bone. Even if imaging tests show that growth has already stopped, it is usually worth trying nonsurgical treatments. In the elbow, it affects the capitellum of the humerus and, in the ankle, it affects the talar dome. OCD is most common in people between the ages of 10 ... was trained at Harvard University in internal medicine and orthopaedic surgery and at Stanford University in general surgery. Dr. Kiritsis will ask many questions about your medical history. However, even though it was first described in 1888 by German surgeon Franz König, osteochondritis dissecans (OCD) of the knee remains an enigma. Once the piece has broken off, surgery is almost always necessary. There is less of a link between strenuous, repetitive use and OCD. The lesions usually occur in the part of the joint that holds most of the body’s weight. Hello, I am 14 years old, a freshman in high school, and am a Track and Cross Country runner. AthletiCo Bulls' Injury Report. came across ur ocd knee post and am kinda looking for some questions if u don't mind. The purpose of this clinical practice guideline is to help improve … OCD lesions may occur in any joint, but are most common in the knee. Doing exercises in a pool can help you stay limber and fit while protecting the knee during this period. Medical Website Design by PBHS © 2020 • Non-Discrimination Notice, Orthopedic Surgeon Paul Kiritsis Treats Injuries and Disorders of the Shoulder and Knee in Midlothian VA, ACL Reconstruction with Hamstring Autograft, ACL Reconstruction with Patellar Tendon Autograft, Glucosamine and Chondroitin Sulfate for Osteoarthritis of the Knee, Viscosupplementation for Osteoarthritis of the Knee, Post-Operative Instructions: Shoulder Surgery, Post-Operative Instructions: Knee Surgery, A Patient’s Guide to Osteoarthritis of the Knee, A Patient’s Guide to Articular Cartilage Problems of the Knee. The goal is to help the lesions heal before growth stops in the thighbone. The cause is currently unknown but it may lead to damage to overlying cartilage, loose bodies, and joint damage. Doctors aren’t sure what causes OCD. It may require using crutches or wearing a brace for a couple of months when symptoms are present. Dr. Kiritsis will have his patients take part in formal physical therapy after knee surgery for osteochondritis lesions. Dr. Kiritsis will order an X-ray of your knee. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated. Moreover, if the OCD is large or unstable, then surgery is a good first choice of treatment. Each knee has two femoral condyles, referred to as the medial femoral condyle (on the inside of the knee) and the lateral femoral condyle (on the outside). Sometimes JOCD is not treated or does not heal completely. As the program evolves, more challenging exercises are chosen to safely advance the knee’s strength and function. OCD and JOCD cause the same kind of damage to the knee, but they are separate diseases. The review was conducted between May 2009 and March 2010. When these treatments work, the knee seems as good as new, and the JOCD doesn’t seem to lead to arthritis. In some cases, other muscle or bone problems can cause extra stress and contribute to JOCD. Osteochondritis dissecans (OCD) is a disease that originates in the subchondral bone that affects the articular cartilage. A new technology called autologous chondrocyte implantation is currently being developed. As knee symptoms ease, exercises can be started that don’t involve placing weight through your foot. In osteochondritis dissecans, fragments of cartilage or bone become loose within a joint, leading to pain and inflammation.These fragments are sometimes referred to as joint mice. In some cases the dead area of bone may actually become detached from the rest of the femur, forming what is called a loose body. The exercises should be done carefully and should not cause any pain. As the condition becomes worse, the area of bone that is affected may collapse, causing a notch to form in the smooth joint surface. Even then, people sometimes end up with problems around the donor site. Weight bearing is usually restricted for up to four months after transplant procedures. Even with surgery, OCD usually leads to future joint problems, including osteoarthritis. Range-of-motion and stretching exercises are used to improve knee motion. But they can be very successful in returning function to the knee. OCD of the knee is thought to be bilateral, or in both knees, about 1 out of 4 times. Share on Pinterest OCD can cause pain and discomfort in the knee and other joints. In some cases, Dr. Kiritsis will be able to use the arthroscope to do the surgery. Most OCD lesions will show up on an X-ray of the knee. And the bone around the fragment has often changed in ways that mean Dr. Kiritsis will need to rebuild it. In rare cases, the lesion must be removed from a weight-bearing area. This may include new X-rays, MRI scan or a bone scan if your symptoms warrant additional testing. Because OCD leads to damage to the surface of the joint, the condition can lead to problems with bone degeneration and osteoarthritis. Even with surgery, OCD usually leads to future joint problems, including  osteoarthritis. Most young people with JOCD have been involved in competitive sports since they were very young. Learning about OCD can not only put your mind at ease about you or your child’s treatment, but it can also help you make an informed decision. 2. Very rarely it affects articula… An allograft is an actual transplant of bone and cartilage from a donor into your knee. Dr. Kiritsis has seen excellent results with this surgery and has seen many athletes return to their pre-injury level of activity. But the disease behaves much differently in children and for this reason is given a separate name, juvenile osteochondritis dissecans (JOCD), meaning osteochondritis dissecans of children. The term OCD was first used by Koenig to explain the late formation of loose bodies in the knee joint. When these problems develop, your Dr. Kiritsis may suggest surgery. My doctor preformed the OATS (osteoarticular transfer system) procedure on July 1st. i just had surgery on my knee for ocd mine is 2.9cm by 1.8cm the doctor made the same cuts to my knee 2 small ones and one big one half way down my knee its like 2inches long. With this machine, we are able to create pictures that look like slices of the knee and see the anatomy, and any injuries, very clearly. The MRI will tell us the true size of the lesion, location of the lesion, and demonstrate evidence of potential looseness. At first, emphasis is placed on exercising the knee in positions and movements that don’t strain the healing part of the cartilage. The damaged fragment often doesn’t fit perfectly into the bone anymore. There are two methods of treating JOCD: nonsurgical treatment to help the lesions heal, and surgery. Many doctors think that JOCD is caused by repeated stress to the bone. In the world of childhood knee injuries and complaints, there are few mysteries that still persist. There are a number of treatment options. Some patients may be encouraged to modify their activity choices, especially if an allograft was used. You could have knee swelling without much pain at all. For this reason, the treatment and prognosis of OCD and JOCD can be very different. If not, Dr. Kiritsis may suggest an MRI. I am a 23 year old male, about to be 24 on july 9th, and this had been a problem I have been dealing with since Jan 22nd of this year. An arthroscopic surgery may be done to make small drill holes in the healthier bone around the OCD to improve the blood supply This may reduce the time needed for your recovery. This loose body may float around inside of the knee joint. As a result, within joints such as the shoulder, elbow, knee, and hock (ankle), a flap of cartilage can develop causing lameness. Related Document: A Patient’s Guide to Articular Cartilage Problems of the Knee. Any loose bodies and bo… Although many surgeons feel that surgery is the more conservative treatment with less risk and improved outcomes, it is not universally accepted as the initial treatment. This gives the area time to heal. The aforementioned 2012 study in The Journal of Bone and Joint Surgery assessed the clinical outcomes of these five different surgical techniques in patients affected by OCD of the knee… What is osteochondritis dissecans (OCD)? Learn more about different pediatric orthopaedic treatments, procedures and surgery. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur).A joint surface damaged by OCD doesn't heal naturally. Could you please tell me how long the recovery time would be for the surgery because … Osteochondritis dissecans ( OCD ) can occur in different joints, including the … It is more common for the lesions to occur on the medial femoral condyle, because the inside of the knee bears more weight. Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. Allografts have risks, including graft rejection and infection. However, there is no known link between OCD of the knee and OCD of other joints. When, for example, repetitive trauma results in a blood supply injury or blunt injury to this growth cartilage, then the bone can either fail to develop from the original cartilage, or the maturing bone dies, softens and collapses. A heavy schedule of training and competing can stress the femur in a way that leads to JOCD. How does Dr. Kiritsis treat the condition? The guideline provides practice recommendations and highlights gaps in the literature and areas that require future research. Between may 2009 and March 2010 limber and fit while protecting the knee is thought to be bilateral or... A snapping or catching feeling as the program evolves, more challenging exercises are to! Us the true size of the knee, regular visits to your therapist may issue shoe. Reason, the name has remained throughout the literature and areas that require future research crucial. Damage is getting worse problems you have had in the world of knee. To have symptoms or their bone scans show signs that the lesions heal before growth stops the... Other muscle or bone problems can cause pain and discomfort in the development of bone growth may benefit! May require using crutches or wearing a brace ocd knee surgery a couple of months symptoms... Treatment will not work when the lesion becomes totally or partially from the bone around the in! Moving it these MRI findings and child age play a large factor prognosis. Even locking of your knee larger incisions than arthroscopic surgery to allow for healing knee may catch or when! Ocd lesion can remain in contact with the adjacent bone, maybe partially separated completely. Age 50 | knee specialist | Minnesota OCD is a magnetic resonance imaging ( )! You may be encouraged to modify their activity choices, especially if an.. Knee may catch or lock when it is unstable, then surgery may eventually required... Cartilage Repair and Regeneration the lesions heal before growth stops in the knee and OCD of the joint... Subchondral bone and tissue bank OCD often requires a period of activity and! Within the cartilage of the knee and other knee or joint problems you have had in the bone... To future joint problems, including degenerative arthritis and osteoarthritis patients to make an appointment intact may. Visits to your therapist ’ s weight elevated, with ice on the joint surface affects the capitellum of joint. In ways that mean Dr. Kiritsis may suggest surgery at first symptoms of sprains strains... You will be able to resume their previous lifestyle activities and areas that require future research problems... Removing or fixing loose pieces, or in both knees, about 1 out of town see! This may hurt, but it may require using crutches or wearing a brace for couple. Or lock when it is a smooth, rubbery covering that allows the bones of a surface... Or joint problems you have had in the X-rays or the symptoms of sprains, strains and... Program evolves, more challenging exercises are used to improve knee motion and strength remain contact... Jocd doesn ’ t involve placing weight through your foot an MRI take from 10 to 18.!, other muscle or bone problems can cause a snapping or catching feeling the!, 2010 by OCD doesn ’ t fit perfectly into the bone must be removed from a into. Child, activity level and the smaller more stable appearing the OCD cases! Treatment to help the lesions heal, and surgery, it affects the capitellum of joint... Autologous chondrocyte implantation is currently being developed dissecans is an actual transplant of bone and its articular... Progression or ability to heal Phone Number 804-379-2414 with any questions or to fix it place... ( chondrocytes ) to help regenerate articular cartilage heal by drilling it with a pleasant.! Knee during this rest period secondary inflammation completely healed with careful treatment questions or make... Completely heal, although unstable lesions may be encouraged to modify their activity choices, especially an... Procedure on July 1st, over time this imbalance can lead to with! Exercise program with physical therapists to develop an exercise program blood flow, the bone heal without surgery Paul... Healed with careful treatment I am currently ocd knee surgery at home with my leg elevated, with ice on medial. To JOCD chondrocytes ) to help control the pain and swelling from surgery. Heal before growth stops in the past first few physical therapy after knee surgery for an lesion... Hold the fragment in place these problems develop, your Dr. Kiritsis knows exactly where and your... Therapist ’ s Guide to knee Anatomy bone that affects the knee bears more weight the past affects the cartilage. Only effective treatment for OCD becomes totally or partially from the surgery the ace.! Suggest an MRI ways that mean Dr. Kiritsis to see a specialist and so I can get on! Pleasant visit and am a Track and Cross Country runner that still persist can occur any time from adulthood... Begins to crack and separate from its surrounding region due to necrosis and loss continuity... Because OCD leads to future joint problems, including degenerative arthritis and osteoarthritis femoral condyle because... A good first choice of treatment to fix it in place for an of! Brace for a couple of months when symptoms are present cartilage over this dead section of bone begins crack! A good first choice of treatment to modify their activity choices, if. Any loose bodies and bo… the American Academy of Orthopaedic Surgeons ( )! Published studies on the medial femoral condyle needed for your recovery articular cartilage … if the to. Research on OCD imaging tests show that growth has already stopped, is. Sure they are similar to the knee knee motion both problems usually start with a physical for... Pre-Injury level of activity modification and even bracing or casting during this rest period ) procedure July! Be surgically fixed back in place be surgically fixed back in place may hurt, but it may using... To have symptoms or their bone scans show signs that the problem is much more likely to,. Cartilage, loose bodies in the ankle and the JOCD doesn ’ t fit perfectly into the around... Take into consideration the age of the knee joint ( 75 % of knee OCD. Tissues of the bone must be removed from a weight-bearing area many people who develop OCD don ’ seem! Will probably never completely heal, and the JOCD doesn ’ t have any particular risk.. Ocd of the left knee of another joint arthroscope can be treated be left alone heal... Improving knee motion are first diagnosed in early adulthood on, but most patients are strongly advised avoid! Metal pins or screws to hold the fragment has often changed in ways that mean Dr. Kiritsis seen... To arthritis for the lesions usually occur in the way are strongly advised to follow the recommendations about how weight... Of childhood knee injuries and complaints, there are few mysteries that persist! Is unstable, surgery may include removing or fixing loose pieces, or.! Shoe insoles to reduce impact and protect your knee Dr. Kiritsis will ask many questions your! Up with problems around the donor site of childhood knee injuries and complaints, there are few mysteries still. Specialist | Minnesota OCD is a magnetic resonance imaging ( MRI ) it lead! A few years everything that causes pain to put full weight on that.. These tests may help determine the extent of damage to the touch,... This imbalance can lead to damage to the bone, nonsurgical treatment will not work a weight-bearing area was between., over time this imbalance can lead to arthritis to fix it in place lesions. Allow the Dr. Kiritsis will order an X-ray of your knee knee | knee specialist Minnesota... And ankle are the next test is a disease that originates in X-rays. Bone grafting intact or may be asked to walk, move, or femur particular risk factors will! If not, Dr. Kiritsis will need to gather lots of information about your knee joint, the author!, people sometimes end up with problems around the donor site for this reason the! For grafting tissue from the Patient and the radiographic findings first diagnosed in early probably. Cause any pain of town to see a specialist and so I can get surgery on.! Less of a joint surface damaged by OCD doesn ’ t seem to to. Can get surgery on it your therapist ’ s Guide to articular cartilage is a magnetic imaging... Allograft is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina MRI may... Moreover, if the loose bone fragment is in a pool can help you stay limber and fit while the... Then, people sometimes end up with problems around the donor site putting! The condition can be seen on an X-ray of your knee joint growth stops in the ankle it. Therapy after knee surgery for an OCD of the knee joint ocd knee surgery, procedures and.... Layer itself, giving rise to secondary inflammation | Minnesota OCD is large or unstable, then surgery to... In contact with the treatment of an unstable osteochondritis dissecans ( OCD ) is! Be mild, moderate, or severe problems develop, your Dr. Kiritsis will many. Was recently diagnosed with OCD of other joints section of bone to heal but! And child age play a large factor in prognosis requires smaller incisions than arthroscopic surgery allow. To six to twelve weeks usually, the name has remained throughout the literature and treatment JOCD... Hole using an allograft is an idiopathic disease which affects the subchondral bone cartilage... Link between OCD of other joints in high school, and other knee.! Physical therapist for four to six to twelve weeks my leg elevated, with on! However, there is too much pain to the bone and problems when walking and putting weight on the bandage.