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Osteochondral Defect of the Knee || prof(Dr) Ujjwal Kanti Debnath @TechhealthOT An osteochondral defect of the knee, also known as an osteochondral lesion or osteochondritis dissecans, is a condition that affects the cartilage and underlying bone in the knee joint. Here are some full details about this condition: 1. **Definition**: An osteochondral defect refers to a damaged area of cartilage and the underlying bone in the knee joint. This condition can vary in severity, ranging from minor cartilage injury to a more significant problem involving both cartilage and bone. 2. **Causes**: Osteochondral defects can result from various factors, including trauma, repetitive microtrauma, genetic predisposition, or issues with blood supply to the affected area. It often occurs in active individuals, particularly athletes. 3. **Symptoms**: Common symptoms include pain, swelling, stiffness, and decreased range of motion in the affected knee. Some individuals may also experience locking or catching sensations within the joint. 4. **Diagnosis**: To diagnose an osteochondral defect, a healthcare provider typically conducts a physical examination, reviews medical history, and orders imaging tests such as X-rays, MRI scans, or CT scans to assess the extent and location of the damage. 5. **Classification**: Osteochondral defects are categorized into different stages based on their severity. The Outerbridge classification and the International Cartilage Repair Society (ICRS) classification are commonly used systems to grade the condition. 6. **Treatment Options**: Treatment varies depending on the size, location, and severity of the defect. Options may include: **Conservative Management**: Rest, physical therapy, and activity modification. **Arthroscopic Surgery**: For smaller defects, minimally invasive procedures like microfracture, drilling, or abrasion arthroplasty can stimulate cartilage repair. **Osteochondral Autograft or Allograft Transplantation**: In cases of larger defects, healthy cartilage and bone tissue can be transplanted from another part of the patient's knee (autograft) or from a donor (allograft). **Osteochondral Scaffold Implants**: These involve implanting synthetic or biological scaffolds to promote tissue regeneration. 7. **Recovery and Rehabilitation**: Following surgery, a structured rehabilitation program is crucial to promote healing, restore function, and prevent further damage. 8. **Prognosis**: The outcome depends on various factors, including the size of the defect, the treatment chosen, and the patient's commitment to rehabilitation. Smaller defects tend to have better outcomes than larger ones. 9. **Prevention**: Preventive measures include maintaining a healthy weight, avoiding excessive stress on the knees, proper warm-up and cool-down routines during physical activity, and addressing knee injuries promptly. It's important to note that the management of osteochondral defects should be individualized and guided by a healthcare professional who specializes in orthopedics or sports medicine. Early diagnosis and appropriate treatment can help improve the long-term prognosis and quality of life for individuals with this condition. #kneepain #kneeosteoarthritis #kneearthritis #kneepainrelief #kneeosteoarthritistreatment #arthritisinknee #knee #kneeosteoarthritis #kneepain #kneearthritis #kneearthritistreatment #kneeosteoarthritisexercises #kneearthritissymptoms