Osteochondral Lesions

Abstract

A patient with OCD typically experiences deep ankle pain on or after activity. This chapter describes the cause of this pain. For diagnosis, additional diagnostics are often needed. The preferred diagnostic strategy is mentioned. For treatment, the most important treatment options are described in detail. It concerns debridement and bone marrow stimulation for primary lesions of <15 mm. Retrograde drilling is for large cystic lesions. Fixation is for large osteochondral defects (> 15 mm in size). Osteochondral transplants, calcaneal osteotomy, and application of a HemiCAP are considered for treatment of secondary osteochondral defects.