OCD Fixation Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-OCD Fixation: 11. Osteochondral Grafting for Capitellar Lesions

OCD Fixation: 11. Osteochondral Grafting for Capitellar Lesions

Video Transcription

Video Summary

The video discusses the surgical indications and technique for osteochondral grafting for capitellum OCD (osteochondritis dissecans) lesions. It explains that OCD is a chronic alteration of subchondral bone with a risk for cartilage disruption and premature osteoarthritis. Hypovascularity is a major cause of OCD in the elbow's capitellum, and imaging, particularly MRI, helps identify the extent of the lesion. The video discusses the criteria for osteochondral graft reconstruction, such as lesion size and involvement. It also explains the surgical approach, graft options, and postoperative rehabilitation protocol. Two case examples are presented to illustrate different scenarios and outcomes. The video concludes by emphasizing the importance of follow-up assessments, including postoperative MRI and the bogey score, to determine further activity progression. No specific credits were mentioned in the transcript.

Keywords

osteochondral grafting

capitellum OCD

osteochondritis dissecans

surgical indications

surgical technique