Osteochondritis Dissecans Treatment

Treatment of Osteochondritis Dissecans for children and adults to take a different approach:

1, children for many OCD negative body search is generally believed that because of the epiphysis has yet to heal, treatment is only necessary to alleviate the pain, prevent the occurrence of corpus liberum. If joint swelling and locking, and sexually heavier, you can use the tube-type gypsum-bit fixed 30 ° flexion when the symptoms disappeared immediately after the activity, X-ray signs of healing up there, you can increase the volume of activity, so that healing time of 6 to 12 month in advance. In recent years, some others think that the conservative treatment of children with a higher failure rate, up to 50%. If conservative treatment failure or persistent symptoms of 3 months who did not disappear, surgery should be carried out.

2, young people and adults to the continuing damage caused by OCD symptoms and intra-articular corpus liberum, the need for surgery. Simply remove the bad effect because of exfoliative bone easily cause secondary damage to the articular cartilage and other basic out now. Endarterectomy because of weight-bearing bone is located in many areas, the treatment of bone can be re-placed in exfoliative crater, the two Kirschner wire with a fixed, fixed-bed before the need to bone scraping or drilling, the location as precisely as possible so that the joints Noodles formation. Although the use of Kirschner wire fixation pin from the convenience, but do not have a fixed solid and easy to bend and break, such as disadvantage. Is the use of the international community to absorb many of the embedded-type screws for internal fixation.

In addition the use of fresh or frozen osteochondral autologous transplantation method for repair of articular cartilage surface, at least temporarily relieve the symptoms and improve joint function. Ways better also on the new development of alternative methods. Basically, the use of arthroscopy can include drilling, scraping and transplant operations, such as internal fixation, and arthroscopic surgery can relieve muscle, such as joint damage, reduce joint stiffness and pain after operation. Preoperative MRI examination to determine the pathological classification OCD, then formulate a program to take the appropriate surgical arthroscopic treatment is recommendation.