OCD Fixation Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-OCD Fixation: 5. Microfracture and Osteochondritis Dissecans

OCD Fixation: 5. Microfracture and Osteochondritis Dissecans - Is this Really an Option

Video Transcription

Video Summary

The video discusses microfracture and osteochondritis dissecans (OCD) in the context of knee injuries. It explains that OCDs are more common in adolescent males and typically occur along the medial femoral condyle. Treatment for OCD lesions depends on their size, with smaller lesions being candidates for debridement and microfracture. Microfracture is a minimally invasive procedure that stimulates fibrocartilage formation using mesenchymal stem cells. However, microfracture has limited application for larger OCD lesions, which often require cartilage restoration techniques. A study comparing osteochondral autologous transplants to microfracture showed better results and lower failure rates with the former. The video concludes by discussing potential applications of microfracture in treating partially healed or small remaining defects in OCD lesions.

Keywords

microfracture

osteochondritis dissecans

knee injuries

fibrocartilage formation

cartilage restoration