Phase I (1 – 5 days post-op) • Wound care: Observe for signs of infection and begin scar management techniques when incision is closed. Any procedure that requires an osteotomy necessitates nonweightbearing until the osteotomy heals (4–8 weeks). The causes of microfracture OCD is still being debated, bit the development of repetitive micro-traumas correlated with vascular impairment is the most recognized analysis that causes progressive dysfunction and ankle pain in young and skeletally immature adult patients. ROM usually is started 2–6 weeks after surgery, depending on the quality of the osteotomy fixation. Unless the injury is extensive, it may take months, a year or even longer for symptoms to develop. Microfracture and stem cell injection work well for simple lesions. “Osteo” means bone and “chondral” refers to cartilage. Overview. I am 6 days out from microfracture surgery on my left talus to correct an OCD that is actually 25 years old. x��\mo���)�a>�U�xf���"�m�����D��~p���Yc�f�=��gp����ԅ�3s��3�9=/�l��*����yU%�Q��N��韧����K2�&I��ӫ�M��~M�~Z���7�ފ�W�Ύ��:>r���_ ]�@*�J���������{D� endobj Ankle Arthroscopy + Microfracture Talus OCD (Osteochondritis Dissecans lesion) Day of Surgery A. Study design: Randomized controlled trial; Level of evidence, 1. I need help with coding an ankle microfracture. Messages 499 Best answers 0. This is a relatively quick surgery performed by a Pensacola orthopedic surgeon (around 30 to 90 minutes) that is minimally invasive and has a much shorter recovery period than knee replacement (arthroplasty). A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Fax: 850-807-5209 Keywords osteochondral lesions of the talus, osteochondritis dessicans, microfracture, OLT, allograft, OATS, PJCAT, ACI, MACI, AMIC Osteochondral lesions of the talus (OLTs) are lesions of the articular cartilage of the talus and underlying subchondral bone. If not recognized and treated correctly, osteochondritis dissecans can cause secondary osteoarthritis with functional limitation and pain. ͣ�;���/��.�~|'�s�'�Oj\d�Wy"�@*��=%�ݹ����L�ٗ�I�$���-�-�:��栾�# �����?�2}�a��������-�a���|GG��E��g��[��wݓ�{i�����D g�Z҃�y��K�qh��i� O�U�r����P�Pډ����~�� P��#hO�T�:� �1�I�9���N(Yn%F��#�F�=�=�D���̦i�P�:�]J��J3O�3]_|�+�J�F��.�U|%zb�n_(*� m�0��ݺ���7A�����s#f�cF�!f�˨ٙ�a�_�������b=m�T����t�c�P�}̈�0p. A full diagnostic arthroscopy is performed, and then attention is turned to the osteochondral defect. Foot / Ankle :: Early Weight Bearing After OCD Talus Microfracture? After this, the calcified chondral layer is debrided to expose the underlying subchondral bone … Jun 24, 2009 #2 I would go with unlisted 29999. One can drill and inject these lesions. Pain medication as needed every 6 hours. When performing a microfracture procedure, the surgeon will start by debriding any frayed tissue or flaps at the margin of the lesion (Figure 22). %���� endobj Ice is applied for 20-minute periods 3-4 times per day. C. Icing is important for the first 5-7 days post-op. Normally, the osteochondral allograft transplant system and the microfracture have been regular options of … Hypothesis: The use of PEMFs after arthroscopic debridement and microfracture of an OCD of the talus leads to earlier resumption of sports and an increased number of patients that resume sports. Osteochondritis Dissecans (OCD) is a joint defect involving the overlying articular cartilage and the subchondral bone. �K�������8��xW��ԿC���oo�̛k��{)�t\O\��$���V�����8�c���p%]�+>}����������&qq ����MQU��.��EQ�$���a�2V����9 ����d����3����~GvO����|�P^���e '�8��hN �81��N�y'�M8�vߌ����3_Η/'����u5�;{�V��Yd��xv��5�K��Y�ڕ��l��^�Hi]�z Therapeutic arthroscopy with microfracture leads to fibrocartilaginous repair and is an effective treatment of osteochondral lesions of the talus. M. Easley 18:48. 2, 3 Optimal treatment is decided according to the size and … The Event 2012. Pic after microfracture and debridement of above OCD. %PDF-1.7 Thanks . Back when I was 13 I was diagnosed and went the route of NWB for about 12 weeks rather than surgery. Email address: info@nilssenorthopedics.com, Nilssen Orthopedic Ankle & Foot Copyright © 2020, Microfracture of Osteochondritis Dissecans (OCD), Peroneal Tendinitis/Dislocation/Subluxation. MICROFRACTURE PROTOCOL The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. The patient will be NWB and use two crutches to protect the repair site and allow the site to heal properly. Fax: 850-807-6674 This type of procedure is crucial particularly in patients who are young with unstable cartilage fragments. Pic of one of the nodules inside the ankle join. When it affects your ankle, it usually happens on the medial section of your ankle (talus) or the inner area. Surgical intervention is required for many of the osteochondral lesions. Foot / Ankle :: Early Weight Bearing After OCD Talus Microfracture? Arthroscopic debridement, microfracture and PRGF injections do not halt or delay the progression of OA ankle in type V OCD but helps in the healing of subchondral cyst. A series of intraop ankle arthroscopy pics of synovial chondromatosis with OCD talus and tibia and microfracture. These molecules should encourage filling of the cartilage defect with fibrocartilage that is less specialized. Back when I was 13 I was diagnosed and went the route of NWB for about 12 weeks rather than surgery. Depending on how big your lesion is will determine which procedure the surgeon will perform. In addition, microfracture technique has proven to be effective for treatment of both chondral and osteochondral lesions of the talus . Fibrocartilage is predominantly made of Type I collagen which is structurally and biomechanically inferior to hyaline cartilage. When a patient has a small area of damaged cartilage (not widespread arthritis), microfracture may be performed in an attempt to stimulate new cartilage growth. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2923 N California Ave Suite 300 Chicago, IL 60618 Phone: (847) 247-4000 720 Florsheim Drive Libertyville, IL 60048 Phone: (847) 247-4000 Talar dome lesions are usually caused by … Diet as tolerated. Ankle Arthroscopy with Microfracture Precautions: The patient will be splinted to restrict ROM. Bella Cullen Guest. Microfracture surgery, through the recent years, has become popular in sports with a number of professional athletes including NFL, NBA and NHL members, having undergone the surgery. 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