AJSM Webinar Series - June 2024: Overview and Current Concepts in Osteochondritis Dissecans of the Knee. An AJSM-PRiSM Webinar.-AJMS-PRiSM Webinar Recording- OCD of the Knee

Video Transcription

Video Summary

In this webinar, a patient presented with knee pain stemming from an osteochondral defect. An initial surgery for this patient involved the removal of a suspected free body followed by open reduction and fixation with bioabsorbable pins. After a year, the patient returned with recurrent pain and swelling, leading to the discovery of a chondral defect at the site of fixation. The treatment options discussed for the revision surgery included autologous chondrocyte implantation due to the absence of allograft availability in Japan. The patient underwent successful therapy with MRI showing good integration of cartilage. The patient's age and stage of skeletal maturity can influence treatment decisions with the general principle being that fixable conditions are addressed while non-fixable issues are removed. The panel discussed various treatments, including the importance of grafting for acute fractures and the role of osteochondral allografts and autologous chondral implantation for chondral defects. Additionally, adjuvant therapies such as hyperbaric chambers and bone stimulators were noted as potential options for further study. Overall, patient outcomes can be successfully managed with a personalized treatment approach based on individual needs and considerations.

Keywords

knee pain

osteochondral defect

surgery

bioabsorbable pins

chondral defect

revision surgery

autologous chondrocyte implantation

MRI integration of cartilage

treatment decisions

adjuvant therapies