IC 204-2023: The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group-IC 204 - The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group (3/7)

IC 204 - The Cutting Edge in Osteochondritis Dissecans: Updates from the ROCK Group (3/7)

Video Transcription

Video Summary

In the video, the speaker discusses different treatment options for OCD (osteochondritis dissecans) in the knee. They explain that the treatment algorithm is based on whether the cartilage is salvageable or unsalvageable. For immobile OCDs, the speaker suggests drilling techniques to promote healing. They mention a study comparing transarticular and retroarticular drilling, which shows both techniques to be effective. For mobile OCDs, the speaker presents a case study and discusses different repair techniques. They highlight the importance of preserving native cartilage whenever possible and provide examples of repair methods such as using bone grafts and metal compression screws or suture bridge constructs. They also discuss cases where the cartilage is unsalvageable and present options such as osteochondral allograft transplantation or cartilage-based procedures with bone grafting. Finally, the speaker emphasizes the importance of standing alignment x-rays and considering guided growth or unloading osteotomies in treatment. The video does not provide any credits.

Asset Caption

Crystal Perkins, MD

Keywords

OCD treatment options

drilling techniques

repair techniques

native cartilage preservation

osteochondral allograft transplantation