Ankle Osteochondral Defects / OCD

Osteochondral defects are a common source of pain in the ankle.  There is limited space inside the ankle joint, when you have an OCD lesion it can often feel like you have a pebble inside your shoe, with a very disconcerting crunching noise.  Once this lesion is removed and micro-fractured the results are often dramatic.  However, there is a limitation to how much pain relief can be achieved - we cannot make you better than the uninjured side.  Once damage has been done to the chondral surface - the body heals the surface with fibrocartilage, not the rock hard hyaline cartilage that you were born with.  With microfracture alone this technique is 90% effective.

I have attached imaging of some recent osteochondral lesions that have been treated at our hospital.

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