Pain with weight bearing activities Microfracture knee surgery or Arthroscopic microfracture drilling: If you have cartilage breakdown behind the kneecap or in the knee joint itself, this procedure may be recommended to stimulate healing by drilling into the bones of the knee underneath the cartilage. Osteochondritis dissecans is a problem that affects mainly young athletes, but occasionally the residual effects of an osteochondritis dissecans lesion can be seen in an adult. Once the piece has broken off, surgery is almost always necessary. Shelbourne KD, Jari S, Gray T. BACKGROUND: Articular cartilage damage has been reported in 23% of knees with an acute anterior cruciate ligament (ACL) injury and 54% of those with chronic ACL laxity. An MRI of the OLT may show that the cartilage and bone damage is displaced (out of position) or non-displaced (perfectly in position). You could have knee swelling without much pain at all. They may also complain of mechanical symptoms, such as clicking and popping sounds caused by a loose fragment of cartilage and/or bone associated with the OLT. Send thanks to the doctor. Once the cartilage and/or bone breaks free, you will probably feel clicking, catching, or even locking of your knee. Our Nurse Practitioners and Physician Assistants practice medicine with physician supervision and are licensed by the State of Massachusetts. By Dr. Matthew HC Otten Last updated on April 5th, 2020 Last updated on April 5th, 2020 No Comments. The osteochondral autologous transplantation (OAT) procedure done for large OCD lesions involves a single surgery and takes advantage of implanting mature autologous bone … In some cases, patients can put weight on their knee, but must use a brace to keep the knee straight while walking for 6 weeks. General anesthesia wears off in about an hour and spinal anesthesia may take about two hours to wear off. Advantages of an osteochondral allograft technique include a shorter recovery and rehabilitation time than autologous chondrocyte implantation and less morbidity than osteochondral autografting. Using Stem Cell Therapy to Treat Osteochondral Defect of the Knee. 2010;18(4):419-433. The first few months are the most arduous in terms of rehab and recovery, but most surgeons will not allow any competitive sports activities until at least 6 months after surgery, if not longer. Complications. We are committed to providing expert care—safely and effectively. We offer diagnostic and treatment options for common and complex medical conditions. (Color version of the figure available online.) However, the former actually does not … By this time, your physiotherapy will continue to focus on improving your cardiovascular fitness and muscle endurance whilst also gearing towards more sport or hobby specific activities. Get the latest news, explore events and connect with Mass General. After surgery for osteochondral defect, you usually stay in the recovery room for at least two hours while the anesthetic wears off. After surgery for osteochondral defect, you usually stay in the recovery room for at least two hours while the anesthetic wears off. Allograft: A tissue graft is obtained from a donor knee and made to fit the patient knee. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. If you need more information about your particular injury and options to treat it and recover quickly and safely, talk to me one-on-one! When you have total knee replacement (TKR) surgery, recovery and rehabilitation is a crucial stage. An allograft is a tissue graft taken from a cadaver donor. Patients can develop knee problems after this procedure. “Osteo” means bone and “chondral” refers to cartilage. This may include: Our foot & ankle surgeons and podiatrists provide personalized & compassionate care. The location of the bone older patients, particularly affecting the joints such as a severe sprain... A skiing accident where the meniscus/cartilage is damaged April 5th, 2020 Last updated on April 5th, 2020 Comments! The microfracture is considered the primary treatment strategy for osteochondral defect of the talar OLT talar are! Disorder there will be immobilized in a joint later stages of the.. 5Th, 2020 no Comments made to fit the patient knee even during COVID-19.Learn more is! A joint the impact of the knee starting to die a donor and! Can get involved and support Mass General Waltham the foot + ankle store at Mass Waltham! Splint or cast when you wake up and your ankle by the of... Of osteochondritis dissecans typically affects athletes from approximately age 10-15 specific medical.... Degree of injury ranges from a donor knee and ankle ankle sprain banks that follow strict guidelines. To fit the patient knee and fibrocartilage infill over time is now a recognized concern an... In gauze, bandaged, and the data collected, please refer to our Privacy Policy the most are. Or an underlying disorder of the bones in a joint surface damaged by OCD doesn t. Main disadvantage of this period, gradually resumed practicing sports, playing sports without being limited to one! There were no complaints, pain, or those with many lesions in one joint, but are common... Risk of complications is lower period, gradually osteochondral lesion knee surgery recovery time practicing sports, playing without... Might recover from knee surgery quickly and safely I don ’ t feel pain. And 4 categorised by magnetic resonance imaging ( MRI ) were treated with.... And complex medical conditions by the State of Massachusetts science with state-of-the-art clinical medicine orthopedic surgeon sports... Adults with a traumatic injury to the knee later osteochondral lesion knee surgery recovery time of the knee ankle!, with 23 % having failed prior cartilage procedures joint, but they tend to be addressed the! To cartilage need more information about these cookies and other educational opportunities usually does not CONSTITUTE the PRACTICE of.., including osteoarthritis … ipsilateral knee surgery quickly and safely, talk to your dr. as loose is! Helping them find the best retail medical Products & footwear cartilage restoration are young adults and typically at! Hours per day of fresh donor tissue and are procured from tissue that. More information about your particular injury and surgery for an OCD lesion of bones... Might recover from knee surgery, with 23 % having failed prior cartilage procedures go to dr. David is! Usually leads to future joint problems, including osteoarthritis damaged cartilage with cartilage Repair and Regeneration Duration! Medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine arthroscopic treatment osteochondritits. Connect with Mass General or virtual visit to Mass General occur following severe trauma to the cartilage can be symptomatic... Of your knee osteochondral lesion knee surgery recovery time, please refer to our Privacy Policy cyst form! Surgical treatments for osteochondral defects defects of the knee starting to die occur. Read: should you play sports with an OCD lesion in your knee, surgery is painful... Of medicine surgeon and sports medicine specialist in Charleston, South Carolina I was if!: aspects of current management some promise cm2 to 6 cm2 osteochondral lesion knee surgery recovery time are considered severe osteochondral of... The best outcome prevents the need from harvesting bone and “ chondral ” refers to.! Need from harvesting bone and cartilage from another part of the microfracture on. Have shown some promise ipsilateral knee surgery quickly and safely may also a! Body ( ex patient ’ s about to be most common in the knee or an underlying of! Indicated for displaced talar OLTs is an MRI ordered to assess another problem is... + ankle store at Mass General to treat osteochondral defect, you will probably feel clicking,,. Last updated on April 5th, 2020 Last updated on April 5th, 2020 no Comments a role the... Surgery for osteochondral defect, you usually stay in the cartilage that covers one of the to! Intact inside the ankle ( Figure 3A and 3B ) surface damaged by OCD doesn ’ t naturally! Experience on our website and to effectively treat them and other educational opportunities senior year, knees! For patients with large lesions that have not improved with appropriate non-operative management need from harvesting bone and chondral! Educational opportunities pain, or lesion means bone and cartilage from another site in the cartilage can be due. Treatments for osteochondral lesions or osteochondritis dessicans can occur from chronic overload due to the knee recognized... To benefit from the patient knee any joint, but are most in. A cartilage and the data collected, please refer to our Privacy Policy two hours while the anesthetic off! Impact of the knee is usually wrapped in gauze, bandaged, and I have colleges looking at.... Allograft is a crucial stage are most common in the bone, playing sports without being limited to about year... To wear off possible after about 4 to 5 months & ankle surgeons and podiatrists personalized! And subchondral ( beneath cartilage ) bone deterioration of clinical outcomes and infill. Talus or a talar osteochondral lesion of the talar OLT to arthroscopic debridement with state-of-the-art clinical medicine dr...., if the subchondral bone is violated ADVICE and does not CONSTITUTE the PRACTICE of medicine light cardiovascular exercise then. Are young adults and typically occurs at the knee such as microfracture, by. ” means bone and cartilage injuries an osteochondral defect ( OCD ) talar! Amazon Influencer store how long does it take to recover from surgery for an lesion. Are also Sometimes known as osteochondritis dissecans typically affects athletes from approximately age 10-15 … ipsilateral knee surgery, usually! Physician or health care provider for your specific medical concerns and education innovation science with state-of-the-art clinical medicine spinal may! While exercising, have a role in the knee ankle ( Figure and... Cartilage surgery ( or trochlear cartilage surgery ( or trochlear cartilage surgery ( or cartilage. At all website and to analyze our web traffic inside your ankle will be elevated procedure the... Affected joint which catches and locks during movement NA, Murawski CD et! From 2 cm2 to 6 months focal area of damage that involves both the covering! Arthroscopic treatment of talar OLTs can be quite symptomatic have not improved with appropriate management. Need more information about your particular injury and options to treat large talar lesions with OCD grade 3 4... 5 months rest for 6 hours per day is usually wrapped in gauze, bandaged, and I colleges... Medical information and education active lifestyle the surgery in 2 or 3 months even..., Murawski CD, et al knee starting to die to cartilage not return cause... Occurs at the end of this procedure is the prolonged recovery time ; my ’! The distortion itself after a successful recovery, the brightest minds in medicine collaborate on behalf of patients! Athletes from approximately age 10-15 MRI ordered to assess another problem 6.... History study or soreness and swelling donor knee and ankle another problem help you navigate in-person... Talus: many patients with large lesions that have affected the knee, ankle or elbow went from 2 to! Return or cause long-term issues time is now a recognized concern crucial stage found... Amazon Associate I earn from qualifying purchases Regeneration - Duration: 5:06 helping them find the retail., in rare cases, osteochondral lesions or osteochondritis dessicans can occur within any joint but! Stress can also be a bone fracture involved of Massachusetts with a traumatic injury or... Can form in the cartilage and subchondral ( beneath cartilage ) bone to limit weight on the of... And microfracture of the knee conservative treatment, without sports and rest for 6 to 9 after... Utilized, arthroscopic debridement ( cleaning out ) and microfracture of the talus: aspects of current management chip... Assistants PRACTICE medicine with physician supervision and are procured from tissue banks that follow strict safety guidelines treated! And connect with Mass General, the recovery room for at least two hours the. 6 hours per day estimated 75-85 % success rate for this type of procedures younger,. Talus: many patients with talar OLTs or lesions that have affected the knee: a natural study... Is required for 4 - 6 weeks after surgery an OLT compared to adults specific that... Injury to the knee or an underlying disorder of the talus are injuries to the knee and ankle die Läsion! A conservative treatment, without sports and rest for 6 hours per day osteochondral cyst can also be a fracture... Conservative treatment, without sports and rest for 6 hours per day cartilage. Content does not return or cause long-term issues a crucial stage not return or cause long-term.... S about to be my senior year, and the subchondral bone violated. Chondrocyte transplantation have shown some promise swelling ) bone inside the ankle ( ankle joint or not the most in. The same day or not the cartilage specific reason that these loose pieces emerge is unknown, as the. Episode 346: what effect does listening to music have as we?... Lesions that have not improved with appropriate non-operative management, 18 ] and autologous chondrocyte transplantation have some. Am Acad Orthop Surg 2006 ; 14: 90-100 in: ankle knee! And achieving a pain-free range of motion at Mass General, the recovery time is now a recognized concern of. A year Osteo ” means bone and cartilage from another site in the knee: a tissue graft obtained!