Ankle Scope and OCD Microfracture
What is OCD Talus?
Osteochondritis dissecans (OCD) of the talus is a condition that affects the ankle joint. It occurs when a small piece of bone and cartilage inside the ankle joint becomes damaged or detached, leading to pain, swelling, and limited mobility.
What are the symptoms of OCD Talus?
The symptoms of OCD talus may include:
Pain in the ankle joint, especially during or after physical activity
Swelling or tenderness in the ankle
Limited range of motion or stiffness in the ankle joint
Clicking or popping sounds in the ankle joint
Instability or weakness in the ankle
What causes OCD Talus?
The exact cause of OCD talus is not fully understood, but it is believed to be related to repeated trauma or injury to the ankle joint. This can occur in athletes or individuals who engage in repetitive physical activities that place stress on the ankle joint. It can also be caused by genetic factors or abnormalities in the structure of the ankle joint.
What is ankle scope and OCD microfracture?
Ankle scope and OCD microfracture is a minimally invasive surgical procedure to treat a condition called osteochondritis dissecans (OCD) in the ankle joint. The procedure involves using a small camera called an arthroscope to view the inside of the ankle joint and performing a microfracture procedure to stimulate the growth of new cartilage.
Why is ankle scope and OCD microfracture performed?
Ankle scope and OCD microfracture is typically performed when other treatments, such as medications, physical therapy, or bracing, have failed to relieve ankle pain and improve mobility. It is often recommended for patients with a small area of damaged cartilage in the ankle joint due to OCD.
What happens during surgery?
During ankle scope and OCD microfracture surgery, you will be given general anesthesia or regional anesthesia to numb your lower leg. Your surgeon will make small incisions in the ankle and insert the arthroscope and other surgical instruments. They will use the arthroscope to view the inside of the ankle joint and locate the area of damaged cartilage. Then, they will use a small pick or drill to create tiny holes in the bone beneath the damaged cartilage, which stimulates the growth of new cartilage. Finally, the incisions will be closed with stitches or adhesive strips.
What can I expect after surgery?
When you wake up, you will have a plaster splint over your ankle. Do not take this off and do not get it wet. You will be seen 2 weeks after surgery at which time your surgeon will remove your staples and the plaster slab. Your ankle will then be placed in either a fiberglass cast or an Airboot. You will also be given a prescription for painkillers and antibiotics.
After surgery, you will need to wear a cast or boot and avoid bearing weight on the ankle for at least 6 weeks to protect the ankle and promote healing. You will also need to keep your leg elevated as much as possible for several weeks. You may need to use crutches or a walker to get around.
When can I return to work?
The recovery time after a Brostrom procedure can vary from patient to patient depending on the extent of the injury and the type of work you do. In general, most patients can return to work within 4 to 6 weeks after the surgery, although some may require more time off if their job involves heavy physical activity or standing for long periods of time.
It is important to follow your surgeon's instructions regarding your post-operative care, including proper wound care, physical therapy, and activity restrictions. Your surgeon may also recommend that you modify your work duties or take time off if necessary to allow for proper healing and rehabilitation.
It is important to remember that every patient is different and recovery times can vary. It is essential to communicate with your surgeon and follow their recommendations to ensure a safe and successful return to work.
What are the risks and complications of ankle scope and OCD microfracture?
As with any surgery, ankle scope and OCD microfracture carries risks and potential complications, including:
Infection
Bleeding
Nerve damage
Blood clots
Failure of the bone to heal
Persistent pain or stiffness
Limited mobility
Conclusion
Ankle scope and OCD microfracture can be an effective treatment for damaged cartilage in the ankle joint. With proper care and rehabilitation, most patients can expect to regain function and mobility in their ankle. Your orthopedic surgeon can provide more information and guidance on whether ankle scope and OCD microfracture is right for you.