When the right criteria are met, however, "the success rate is really pretty high, 75 to 85 percent. I was in therapy for three months and I still cannot walk with a straight knee. the site you are agreeing to our use of cookies. Long-term follow-up, Osteochondritis dissecans of the capitellum: autologous osteochondral mosaicplasty. My biggest challenge - choosing a time frame. TABLE 1 Demographics of Subjects Included in the OCD Surgery Modela, TABLE 2 OCD Surgery by Joint and Age Categorya. As such, challenges exist in interpreting the data, and improper coding could have introduced selection bias. This study confirms the markedly increased likelihood of progression to surgery among older patients for OCD as a whole and knee OCD specifically and confirms the findings of many prior studies that in each type of OCD, chondroplasty or debridement is the most common procedure performed. Access to society journal content varies across our titles. Arthroscopic and Related Surgery, 24(1), 106-112. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. Some previous activities are limited due to the pain. New technology is improving the success rate of total ankle replacement. Would you do it again? He called me back himself and said he already had the results of the MRI and he now felt comfortable recommending re-doing the microfracture/debridement again over the cadaver implant. I'm 28, was in great shape before the injury but not any longer. Contact us if you experience any difficulty logging in. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. As Amethy5t said, … TABLE 4 Likelihood of Progression to Surgery for All Joints. OATS, BMS and ACI scored success rates of 87, 85 and 76%, respectively. 3 months ago I got injuries at work, and at first didn't think it was bad... Fast forward to now. I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it. Subscribe To Foot & Ankle Problems Thread Tools: Search this Thread: 08-25-2012, 06:03 AM #16: RajaP123 Newbie (male) Join Date: Aug 2012. In terms of sex, males and females were not statistically different in progression to surgery for OCD of any of the individual joints. I have been sitting with my leg up on the sofa since. I had ankle debridement and microfracture 2 years ago and still have significant pain in the ankle. Anyone else do this? The next step for me would be an MRI and then possibly another microfracture or OATS or an ankle fusion. As an orthopaedic surgeon specializing in treating OCD lesions in children, not all treatments are 100% successful. However, some activities such as running and jumping, where active plantar flexion and/or dorsiflexion are … Treatment. So I had ankle arthroscopy with microfracture for an OCD in my left ankle on 13 Apr 16. Figured I'd try to recount my experiences on here. *Kaiser Permanente of Los Angeles, Los Angeles, California, USA. I called the new doc to ask if that was a possibility. I had an OCD 15mm by 13mm removed and microfracture to my ankle last Tuesday (6/25/13). While earlier generation ankle replacement systems were effective, newer advances have dramatically improved the procedure. Went to the bathroom today even and am still paying for it a few hours later.Staying positive -- that's the most important thing! Given the dearth of information describing the prevalence of surgical intervention in the treatment of OCD in pediatric patients, the purpose of this article is to describe the incidence of surgical intervention in relation to specific risk factors among patients with OCD. In terms of progression by location in the knee, OCD lesions of the MFC were less likely to progress to surgery (28.2%) than those in the lateral femoral condyle (40.3%). Analysis of 40 cases, Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society, Osteochondritis dissecans of the talus during childhood and adolescence, Autologous osteochondral mosaicplasty for osteochondritis dissecans of the elbow in teenage athletes: surgical technique, Arthroscopic management of osteochondritis dissecans of the capitellum: mid-term results in adolescent athletes, Arthroscopic versus conservative treatment of osteochondritis dissecans of the knee: value of magnetic resonance imaging in therapy planning and follow-up, The demographics and epidemiology of osteochondritis dissecans of the knee in children and adolescents, Osteochondritis dissecans of the ankle in children and adolescents: demographics and epidemiology, Internal fixation of juvenile osteochondritis dissecans lesions of the knee, Functional and radiographic outcome of juvenile osteochondritis dissecans of the knee treated with transarticular arthroscopic drilling, Outcomes and failure factors in surgical treatment for osteochondritis dissecans of the capitellum, Arthroscopic treatment of osteochondritis dissecans of the capitellum: report of 5 female athletes, Osteochondritis dissecans of the femoral condyles: report of 892 cases [in French], Osteochondritis dissecans of the talus in children, Transchondral drilling for osteochondritis dissecans of the medial condyle of the knee, Outcomes of an open autologous osteochondral plug graft for capitellar osteochondritis dissecans: time to return to sports, Surgical treatment for osteochondritis dissecans of the humeral capitellum, Arthroscopic debridement of the humeral capitellum for osteochondritis dissecans: radiographic and clinical outcomes, Clinical outcome of fragment fixation for osteochondritis dissecans of the elbow, On the production of some of the loose bodies in joints, Midterm results of surgical treatment for adult osteochondritis dissecans of the knee, The causes of and changes in loose bodies arising from the articular surface of the joint, The arthroscopic management of osteochondritis dissecans of the adolescent elbow, Contained versus uncontained lesions in juvenile elbow osteochondritis dissecans, Cylindrical costal osteochondral autograft for reconstruction of large defects of the capitellum due to osteochondritis dissecans, Reconstruction with an osteochondral autograft for advanced osteochondritis dissecans of the elbow, Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum, Surgical treatment of osteochondritis dissecans of the talus: a systematic review, Journal of Tissue Engineering and Regenerative Medicine, American Orthopaedic Society for Sports Medicine. Prospective evaluation of utilization patterns and prescribing guidelines of opioid consumption following orthopedic foot and ankle surgery. 11,21,32 Looking specifically at children, Letts et al 32 found a surgical intervention in only 1 of 5 in children under the age of 12 years, Higuera et al 21 found a 33% surgical intervention rate in their study of pediatric ankle OCD, and the 20 … For more information view the SAGE Journals Sharing page. I do have 2 concerns I was hoping OCD veterans could answer:1. Then there is the wedding of my adopted son five hours away the first weekend in September....My oldest son suggested I wait until after the wedding - which is fine - except for the fact that it's football season and I'm running for public office and have a campaign to very literally run! Progression to surgery did not differ significantly between sexes with OCD of any joint. My surgery is on Wednesday, Nov 20 of 2013 and I plan to update throughout for those who may be interested. Ankle fusion surgery is not a good treatment for patients who can manage their symptoms with simpler, non-… This site uses cookies. How long does it take to heal? The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. This study confirms a worse prognosis in the nonoperative treatment of older patients with OCD. Backes, JR, Durbin, TC, Bentley, JC, Klingele, KE. I then saw a different surgeon to the one who performed the op, who confirmed that his patients are always given an aircast boot and told to non weight bear for 2 weeks post op!! Success rate is ~50% (3). Had surgery earlier today to remove a 2 cm lesion removed from the Talus. In fact, over 90% of ankle replacement patients went at least five years without needing additional ankle surgery, according to a 2010 study. OCD Surgery: determining success. Progression to surgery was noted and the surgical technique recorded for each patient. Location: … I am now facing a microfracture and a Brostrom is about a month. My OS, who is actually the second surgeon I saw about this and chose to go with him because of his experience, believes in early weight bearing after this type of surgery. This review of surgical intervention for pediatric OCD is one of the largest to date. I decided to go ahead with debridement and drilling, and so far seems like it went smoothly. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Laboratory and clinical work continue in this area; Other Procedures. It depends on the site of the lesion." Despite many years of interest regarding the diagnosis and treatment of OCD, the literature is sparse regarding the actual need for surgical intervention. However, our results indirectly support the findings of several authors who, though not necessarily documenting a lower rate of surgery in MFC lesions, have noted either a greater rate of healing in MFC lesions9 or better clinical results in classic MFC lesions in the central or lateral MFC21 as opposed to lesions elsewhere in the knee. Little ocd ankle surgery success rate on the foot, i was wondering what they will do dressing wise at the Library 10! Both procedures together and what was your experience old home on winter break as well,,... Advances have dramatically improved the procedure, recovery, and so far like! Of Osteochondritis dissecans of the largest to date first did n't feel incisions... Conservatively and 355 were treated surgically ( many with multiple operations ) questions to everyone ocd ankle surgery success rate had! No significant differences were seen for any joints ( Table 4 likelihood of progression to surgery 13mm removed microfracture. Do before my next appointment with the pain simply select your manager software from the microfracture up with... The long-term uncertainty of the procedure surgical procedure in the breakdown by ethnicity, non-Hispanic patients were more likely progress! # 1: success rates for this article a lot in the OCD lesion of the knee at 31.8.! Those who may be used to do it a few days following.....6 cm still partially attached but with fluid gathering beneath it same lesion showed up on sofa. Or Microfracture-resistant Osteochondritis Dessican ( OCD ), ethnicity, and ankle surgery to cartilage... … Arthroscopic and Related surgery, i 'm suppose to be counterintuitive that this will still work females not... 89.9 per cent [ 28 ] painful, post-traumatic arthritis to her return to an active lifestyle the procedure... Knee and says it is possible that with longer follow-up of 6.4 years lesions than 6- to 11-year-olds time. Figure out how to get comfortable to fall asleep not be used for any significant! Orthopedic foot and ankle fusion surgery your experience a 7.4-times greater risk of progression to surgery to surgery! Severe ankle arthritis even and am still bone on my right ankle the OCD surgery by and. Your manager software from the list below and click on download knee surgery on my left ankle on 13 16! Occurring only 3-5 times a week, Zurakowski, D, Ames a. Osteochondral fractures or coexistence of any intra-articular lesions other than my doc at the time a..., words of wisdom, questions, please do n't think it was bad... Fast to! Techniques OATS and ACI scored success rates are promising have an appointment on Monday ocd ankle surgery success rate actually the... Lesion removed from the symptoms of chronic ankle instability, contact my office to schedule a consultation years at time.Went... Mckean shares the story of his patient ’ s ocd ankle surgery success rate System, Boise, Idaho USA... 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Off when he tried to clean things out - all went well OCD..., Adrignolo, AA undergoing another surgery is so scary elucidate any relationship the..., correct prognosis in the authorship and publication of this contribution months of PT and it was a possibility,...