2024 AOSSM Annual Meeting Recordings with CME-Concurrent Session A: Solid as a Rock—Make the Right Choices for OCD Management

Video Transcription

Video Summary

The transcript details a session titled "Solid as a Rock: Make the Right Choices for OCD Management," focusing on Osteochondritis Dissecans (OCD) and its treatment, particularly in the elbow and knee joints. The session includes presentations on multiple research studies and clinical insights into OCD management.<br /><br />Dr. Crystal Perkins presents a study on the use of osteochondral allograft transplantation for treating large, unstable capitellar OCDs in pediatric patients. The study reports positive outcomes, including low complication rates, high graft incorporation, and significant return to sports.<br /><br />Dr. Phil Wilson presents additional findings on osteochondral allograft transplantation, also highlighting favorable outcomes but noting that aspects like grafted surface area and the involvement of radial head lesions can affect post-operative results. He emphasizes the advantages of using fresh lateral femoral condyle allografts to avoid knee donor site morbidity.<br /><br />Dr. Henry Ellis discusses data from the ROC (Research on Osteochondritis Dissecans) group, identifying characteristics that lead to unsalvageable OCD lesions. Older age, male sex, and fragment displacement were notably associated with worse outcomes requiring non-salvageable interventions.<br /><br />Dr. Michael Kluh shares insights into the relationship between mechanical axis deviation and the development of femoral condyle OCD lesions, advocating for the inclusion of lower extremity alignment assessments in the radiographic workup of femoral condyle OCDs.<br /><br />Technical spotlights include Dr. Paul Saliwan presenting surgical techniques for capitellar OCD reconstruction using various approaches, Dr. Stephanie Meyer demonstrating fixation techniques for unstable OCD lesions with metal screws, and Dr. Kendall Bradley discussing suture bridge fixation for OCDs of the patella.<br /><br />The session concludes with a Q&A segment where the experts discuss the nuances of different surgical techniques, the implications of using allografts vs. autografts, and the challenges of using microfracture techniques in elbow OCD management.

Asset Caption

9:40 am - 10:40 am

Meta Tag

Speaker S. Clifton Willimon, MD

Speaker Henry B. Ellis, MD

Speaker Crystal A. Perkins, MD

Speaker Philip L. Wilson, MD

Speaker Michael Klueh, MD

Speaker Paul M. Saluan, MD

Speaker Stephanie W. Mayer, MD

Speaker Kendall Bradley, MD

Keywords

S. Clifton Willimon, MD

Henry B. Ellis, MD

Crystal A. Perkins, MD

Philip L. Wilson, MD

Michael Klueh, MD

Paul M. Saluan, MD

Stephanie W. Mayer, MD

Kendall Bradley, MD

Osteochondritis Dissecans

OCD management

elbow joints

knee joints

osteochondral allograft transplantation

capitellar OCD

femoral condyle

surgical techniques

mechanical axis deviation

radiographic workup