What is OCD microfracture?
Microfracture of the OCD arthroscopically is a surgical treatment option. 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).
What is a microfracture of the elbow?
Microfracture is a technique that can be used to treat an articular cartilage injury or defect that exposes bone. This is performed most often in the knee (it can be used in the elbow, hip, ankle and other joints as well).
How long does osteochondritis dissecans take to heal?
Osteochondritis dissecans happens most often in the knee, elbow, or ankle. It usually takes 3 months or longer to heal completely. If it heals completely, kids who have it usually don’t have any long-lasting problems.
What is the CPT code for microfracture of elbow?
Networker. Our office uses the unlisted code with 29879 as a comparison code with a letter explaining that there is no code for the elbow and that it is similar to that code and send the operative report.
What is OCD surgery?
An osteochondritis dissecans (OCD) lesion is seen prior to treatment. Images: Kon E. The procedure involves a single surgical session, is inexpensive, uses an arthroscopic approach (with the exception of the mini-incision used to obtain bone from the proximal aspect of the tibia) and has minimal donor site morbidity.
What are OCD lesions?
Overview. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.
Do microfractures hurt?
After microfracture has been performed in the patella (kneecap) and the trochlear groove (the groove on the femur in which the patella glides during motion), some patients may develop mild transient pain. Small changes in the articular surface of the patellofemoral joint may produce a grating or “gritty” sensation.
What causes microfractures in bones?
Microfractures. Microfracture are tiny fractures in a bone caused when the force applied to a bone exceeds the strength of that bone. This can be achieved through strenuous activities such as running, dance, military training or gymnastics.
Can you run with osteochondritis dissecans?
The choice whether or not to run is ultimately yours. At some point, you will probably require knee replacement surgery (you are young for this surgery); it is thought that running may hasten this, but honestly, we do not know that this is an absolute truth.
What happens if osteochondritis dissecans is left untreated?
If left untreated, osteochondritis dissecans can damage the cartilage in the joint, and loose pieces of bone and cartilage may even break off into the joint. In the long term, untreated osteochondritis dissecans can also lead to arthritis. Osteochondritis dissecans most commonly affects the knee, ankle and elbow.
What is osteochondritis dissecans?
Osteochondritis dissecans is a bone and cartilage condition that most often occurs in the knee. It has no known cause, but repetitive stress on the joint, low vitamin D and a genetic predisposition are often linked to this condition.
What is arthrotomy of the knee joint?
An arthrotomy is a surgical exploration of a joint, which should include inspection of the cartilage, intra-articular structures, joint capsule, and ligaments.
How to reduce swelling after a capitellar microfracture?
Elevating the leg when you are seated and placing Ice-Packs or the cryocuff on the knee will help to reduce swelling. (20 min 3-4 times a day until swelling has reduced) You will be sent home with a CPM machine (continuous passive motion) and given instructions on proper usage.
What is the capitellar OCD microfracture or OAT Procedure?
Capitellar OCD microfracture or OAT procedure. Cartilage transfer procedures involve moving healthy cartilage from an area of the knee that is non-weight bearing to a damaged cartilage area of the knee. In mosaicplasty, plugs of healthy cartilage and bone are taken from a healthy cartilage area and moved to replace the damaged cartilage area…
How is capitellar OCD used in mosaicplasty?
Capitellar OCD microfracture or OAT procedure. In mosaicplasty, plugs of healthy cartilage and bone are taken from a healthy cartilage area and moved to replace the damaged cartilage area of the knee. Multiple tiny plugs are used and once embedded, resembles a mosaic, hence the name. With the OATS procedure, the plugs are larger.