What is OCD of the talus?
An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).
How do you treat OCD Talus?
The treatment for stable lesions with intact articular cartilage often involves drilling the subchondral bone with the intention of stimulating vascular ingrowth and subchondral bone healing. If the lesion is unstable or hinged, fixation is often indicated in an attempt to heal the lesion back to native bone.
How do you treat osteochondral?
The common treatment strategies of symptomatic osteochondral lesions include nonsurgical treatment, with rest, cast immobilisation and use of nonsteroidal anti-inflammatory drugs (NSAIDs).
How long does it take to recover from OCD ankle surgery?
Recovery from surgery for OCD will vary depending on the stage and extent of the injury. You should speak with your doctor about what recovery may mean for you. On average, it can take about eight weeks before bones and soft tissues heal. You will need to wear a cast during this time.
What is osteochondral autograft?
Osteochondral autograft transfer (OATS) involves harvesting bone and intact articular cartilage from a less weight bearing portion of the knee to fill the defect in the weight bearing portion. It can be performed arthroscopically.
Can osteochondritis dissecans come back after surgery?
Adults are more likely to need surgery for osteochondritis dissecans and are less likely to fully recover. Adults also are also more at risk for developing osteoarthritis in the injured joint. Osteochondritis dissecans usually doesn’t return once the patient heals.
How long does it take for osteochondral lesion to heal?
The recovery period after an osteochondral lesion usually lasts six months to a year. Typically, you progress from range-of-motion exercises to light cardiovascular exercise and then strengthening exercises. If you experience episodes of minor swelling or pain while exercising, have your physician examine your ankle.
Can osteochondral lesion heal on its own?
In general, osteochondral lesions do not heal on their own. Treatment is usually determined by the stability of the lesion and the amount of pain that it causes you. For small cartilage lesions, especially in younger patients, doctors typically prescribe immobilization with a removable cast, called a cam walker.
Can osteochondritis heal itself?
If the loosened piece of cartilage and bone stays in place, you may have few or no symptoms. For young children whose bones are still developing, the injury might heal by itself. Surgery might be necessary if the fragment comes loose and gets caught between the moving parts of your joint or if you have persistent pain.
Is an osteochondral lesion painful?
A patient with an osteochondral lesion will often feel a dull ache in the joint and may also experience a mild locking or clicking of their knee or ankle joint. The affected joint may also seem to be loose.
What is the difference between an allograft and autograft?
Autograft. A patient’s own tissue – an autograft – can often be used for a surgical reconstruction procedure. Allograft tissue, taken from another person, takes longer to incorporate into the recpient’s body .