Once OCD has progressed past the early stages but the overlying cartilage is still healthy, efforts can still be made to remove the underlying unhealthy bone while preserving the patient’s native cartilage. While the concept is similar to the RCD procedure, the technical aspects are a bit different because the OCD is at a point where the overlying cartilage has developed an unstable fissure or crack. In this situation, the crack in the cartilage is used to Dr. Pace’s advantage to “flip open the manhole cover” so to speak and gain access to the unhealthy bone. The bone is removed, and any resulting defect is filled with a combination of donor bone and concentrated bone marrow stem cells taken from the patient’s pelvis through a needle stick. This procedure is outpatient but does require 4-6 weeks on crutches to allow for proper healing.
As a member of the Research in Osteochondritis Dissecans of the Knee (ROCK) and Research in Osteochondritis Dissecans of the Knee, Elbow, and Talus (ROCKET) groups, Dr. Pace’s patients have the opportunity to be enrolled in the country’s largest patient cohort study. This allows for the best possible evaluation of all of the treatments offered for OCD so that optimal treatments can be offered to patients.
You can reach Lee Pace, MD at (860) 837-9220 for any questions or to schedule an appointment.