ocd ankle surgery success rate

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LOL. Nonoperative management consisting of cast or boot immobilization can be attempted for stage 1, stage 2, and some stage 3 lesions. Unfortunately, due to the retrospective nature of this study, we do not know attrition rates for the patients in this study, making it difficult to draw too many conclusions in terms of revision surgeries. 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. Surgery was performed on the single OCD lesion of the lateral tibial plateau. Is it possible I popped a stitch? I fell on day 4 after surgery and landed on my right foot. I was wondering what they will do dressing wise at the 2 week stage. The authors noted that although prognosis of success with nonoperative treatment was better among the skeletally immature, not all lesions in this age group did well. Late June of 2012 I stepped on a guy's foot while playing basketball (just running down the court, not landing from a jump). Small background- My husband is my support person but he has decided that he wants a divorce and a social life. Flat Foot Reconstruction Surgery - Success Rate? Access to society journal content varies across our titles. 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. We have a 6 year old home on winter break as well. Really wishing i had not done anything at this point. Also heard 85% success rate, though success is probably defined as significant reduction in pain or other symptoms, not necessarily "good as new" or elimination of all symptoms. And what happens if the surgery doesn't work? I'm 13 days post op from ankle microfracture and debridement of a small OCD lesion and so far it's been an emotional roller coaster being NWB and all. Black has successfully treated eight OCD patients using the cancellous bone chips and impaction grafting procedure, seven with follow-up of at least two years. In the elbow, 56.4% (22/39) of capitellar lesions progressed to surgery, while the single humeral trochlear lesion did not progress to surgery. We are in Minnesota with no family close and of course it's the middle of winter. The treatment for OCD usually entails surgery, during which any bone fragments are removed and the abnormal bone is cleaned up. Only Jurgensen et al24 has noted a greater rate of surgery in adult OCD (determined to be OCD with closed physis) as compared with juvenile OCD. Patients aged 12 to 19 years were 8.2 times more likely to progress to surgery for all OCD lesions than patients aged 6 to 11 years. Did it eventually get better? The model was adjusted for race (non-Hispanic white, Hispanic, black, Asian or Pacific Islander, other/unknown), age, and sex. Kocher, MS, Czarnecki, JJ, Andersen, JS, Micheli, LJ. The overall progression to surgery for this younger age group was 9.2%, which was significantly lower than the progression to surgery among the older patients (P < .0001). Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm.17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical intervention. Surgery can cause pain and complication in healthy ankle tissue I am scared out of my mind, but living like this is scaring me even more. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. This site uses cookies. My doctor said that I am still bone on bone and will need a partial knee replacement. So I had ankle arthroscopy with microfracture for an OCD in my left ankle on 13 Apr 16. The knowledge of likelihood of progression to surgery of OCD by location, sex, and age is useful in counseling patients and in planning treatment. I just want to be normal again and do all the things that I used to do before. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. I was put in a plaster cast on day 5. Four weeks ago I had ankle surgery where the doctor removed loose cartilage between my tibia and talus and performed microfracture surgery on the talus to generate "newer" cartilage since I had an empty crater of about 1cm.Two weeks after the surgery when the doctor removed the stitches I tried to move my foot up and down rotating at my ankle. It was fairly routine--just 2 screws. One surgery was performed out of the 3 patellar OCD lesions. In fact, Lefort et al31 state that “complete cure is frequent before the age of 12 years.” However, none of the aforementioned studies actually assessed or documented a greater progression to surgery in younger OCD patients or those with open physes, and none specifically looked at surgical progression by age group in pediatric patients. Contact us if you experience any difficulty logging in. Patient sex was not found to correlate with likelihood of progression to surgery for OCD in any location. So far I'm actually surprised that I haven't been in too much pain, I barely took the Percocet and stopped completely just 2 days later. It depends on the site of the lesion." But I don't see how I can progress to full weight bearing (supposed to try that next week!) My biggest challenge - choosing a time frame. I am now facing a microfracture and a Brostrom is about a month. Some society journals require you to create a personal profile, then activate your society account, You are adding the following journals to your email alerts, Did you struggle to get access to this article? Please read and accept the terms and conditions and check the box to generate a sharing link. There is still incomplete understanding, however, as to what patient factors may correlate with success or failure of conservative management and the frequency of particular procedures. 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. I followed directions religiously.I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. How long does it take to heal? Chi-square analysis was done to determine differences by both age group and sex. Foot / Ankle :: Early Weight Bearing After OCD Talus Microfracture? §Loyola Marymount University, Los Angeles, California, USA. There are a number of weaknesses of the present study. He even says that in the meantime, I can put the foot flat on the floor and stand with a small bit of weight on it, as long as I don't walk. My surgery is on Wednesday, Nov 20 of 2013 and I plan to update throughout for those who may be interested. Commonly the tibia bone needs to be cut with a saw in order to allow access to the talus. I've been reading/lurking a lot of threads on here about OCD surgery recovery and haven't come across anyone who did this. In older patients with more diffuse articular cartilage loss, joint replacement is usually more appropriate treatment. Surgery was totally fine -- was unaware of everything. Did I Ruin My Ankle Microfracture With Aggressive ROM? Does anyone have experience with this? A case report, Osteochondritis dissecans of the femoral condyles. Possible interactions between age, sex, ethnicity, and progression to surgery were examined using this multivariate logistic regression analysis. In the breakdown by ethnicity, non-Hispanic white patients had the greatest likelihood of progression to surgery (Table 4). They should only be a stitch or 2 long, correct? Admitted he felt OATS was not a step for me since my OCD went off the side of the talus. Also last week had the lighter cast put on and it was so tight and painful that after two days the plaster nurses just cut in straight down the middle, but left it on my leg. I have suffered with flat feet all my life. Patients aged 12 to 19 years had a 7.4-times greater risk of progression to surgery for knee OCD lesions than 6- to 11-year-olds. But you'll need to weigh the risks and benefits before making a final decision about surgery. Logistical regression analysis was performed by sex, age, and ethnicity. Sharing links are not available for this article. Saw surgeon Monday and got stitches out and permission to start 25% WB with crutches and also ROM exercises. You can be signed in via any or all of the methods shown below at the same time. In terms of the breakdown by joint location, progression to surgery for knee OCD was as follows: In the MFC, 37 surgeries were performed out of 131 lesions (28.2%), while in the lateral femoral condyle, 27 surgeries were performed out of 67 lesions (40.3%) (Table 3). Since my surgery he has found it necessary to stay the night at a hotel for at least 4 nights and be gone all day. At least one incision is made, usually over the front or inside of the ankle. The same lesion showed up on MRI/CT, about 1.1 cm x .6 cm still partially attached but with fluid gathering beneath it. One over stretch couldn't ruin my new cartilage could it? I have read and accept the terms and conditions, View permissions information for this article. However, in this study, drilling was actually the most common of these 2 procedures performed (67% of patients). For OCD of the ankle, progression to surgery was 38.5% among females and 21.2% among males, which, despite the difference, was not statistically significant (P = .25). Could these 2 falls in such a short time messed up the surgery? Foot / Ankle :: 3 Weeks Post Op Ocd Debridement And Microfracture. Together with the newer techniques OATS and ACI, BMS was identified as an effective treatment strategy for OCD of the talus. Hintermann: Successful ankle fusion may allow the patient most activities. the site you are agreeing to our use of cookies. Had surgery earlier today to remove a 2 cm lesion removed from the Talus. And finally, any diabetics out there that have had this surgery? I had ankle surgery to repair my medial malleolus back on May 8. Members of _ can log in with their society credentials below. If they involve the humeral head (the end of the humerus bone that articulates with the scapula), surgery is necessary; still, these operations only have a 50/50 success rate. Backes, JR, Durbin, TC, Bentley, JC, Klingele, KE. In most cases, ankle replacement surgery comes with a favorable report. So I have an appointment on Monday to actually SEE the MRI results and discuss/set-up surgery. I had Microfracture Knee surgery on January 12, 2016 and it was not a success. However, it is possible that with longer follow-up of the present patient cohort, a greater rate of revision surgery could be seen. And/Or password entered does not work for everyone case report, Osteochondritis of... 13Mm removed and microfracture are both hopeful that this will give me time! But did n't think it was bad... Fast forward to now and general for... Significantly differ based on location to correlate with likelihood of progression to rate. Discuss/Set-Up surgery nerve injury near the incision multiple operations ) of 334 OCD lesions were identified Table. Password entered does not elucidate any relationship between the types of surgeries in the and! 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