IC 106-2022: The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group-The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group (3/5)

The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group (3/5)

Video Transcription

Video Summary

In this video, Crystal Perkins from Children's Healthcare of Atlanta provides an update on OCD (osteochondritis dissecans) treatment, specifically focusing on surgical treatments. Perkins discusses treatment algorithms for OCDs, emphasizing stable and unstable articular surfaces and salvageable and unsalvageable conditions. Perkins highlights drilling techniques for immobile lesions and the evolving idea of OCD repair for mobile lesions. She also discusses various graft options for unsalvageable OCDs. Perkins provides pearls for drilling, including positioning, visualization, and drilling paths. She discusses the use of BMACs (bone marrow aspirate concentrate) for biologics and the importance of post-operative radiographs. Perkins then shifts to treatment strategies for mobile OCDs, explaining why debridement and marrow stimulation are not ideal options. She presents a case study on an elite soccer player with knee pain and discusses the use of suture-based repair for OCDs. Finally, Perkins discusses treatment options for unsalvageable OCDs, including osteochondral allografts and cartilage grafts. She emphasizes the importance of getting standing alignment radiographs. The video provides valuable insights and recommendations for the surgical treatment of OCDs.

Asset Caption

S. Clifton Willimon, MD

Keywords

OCD treatment

surgical treatments

treatment algorithms

drilling techniques

graft options