The timing of an osteochondrosis dissecans disease cannot be predicted. The different stages of the disease can take place at different speeds. Sudden persistence in a disease stage is possible at any time. Spontaneous healing is also occasionally observed. The rule here is that the younger the patient, the greater the chances of spontaneous healing (especially before the age of 12), but at most approx. 50%.
Overall, the choice of therapy depends on the stage of the osteochondrosis dissecans.
Conservative therapy for osteochondrosis dissecans is possible in young patients at an early stage of the disease. A dissection solution must not have taken place yet. Arthroscopically, these areas of the dissection show an intact but softened cartilage covering.
The therapy provides for sports leave and, if necessary, partial relief of the affected leg for 6-16 weeks. MRI follow-ups are necessary to evaluate therapy. Physical therapy measures, physiotherapy, medication, infiltration or nutritional factors have no demonstrable effect on the course of the osteochondrosis dissecans. They are used to treat secondary symptoms (secondary symptoms of osteochondrosis dissecans) such as pain and muscle wasting (muscle atrophy).
Read also the topic: Cartilage flake
Surgical therapy is the method of choice for advanced patients Osteochondrosis dissecans An absolute indication for surgery is when the dissection is dissolved.
$config[ads_text2] not foundThe dissection of the dissection represents the maximum damage for the Knee joint On the one hand, the dissecate leaves a hole in the cartilage in its original location; on the other hand, the dissecate as a free joint body damages the still intact knee cartilage. For these reasons, surgical therapy should be used Osteochondrosis dissecans if possible at a stage prior to dissection. The primary goal of all efforts is to maintain an intact cartilage surface.
Operative option 1: The dissecate is not dissolved, the cartilage surface is intact.
Operational option 2: The dissecate is partially or completely detached from the cartilage composite but intact.
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Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The knee joint is one of the joints with the greatest stress.
Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
Operational option 3: The dissecate has come loose, but is no longer suitable for refixation.