Complications | Osteochondrosis dissecans

Complications

The usual surgical complication possibilities apply:

  • Infection, bone infection, wound healing disorder
  • Nerve injuries
  • Thrombosis
  • Pulmonary Embolism
  • RecurrenceFailure of the operation = new joint mouse, renewed loosening of the cartilage bone fragment
  • Early Arthrosis

Prognosis

Osteochondrosis dissecans is a serious disease of the knee joint. If left untreated, osteochondrosis dissecans belongs to the prearthroses, i.e. those factors that lead to the development of early knee joint arthrosis (gonarthrosis). With the above-mentioned surgical measures, the damage to the knee joint can be reduced to a minimum and the ability to engage in sports can be regained for the mostly young patients.Especially with very young patients, the spontaneous course can be waited for.

Spontaneous healing is described in up to 50% of cases. The prognosis is best if the dissolution of the dissected bone can be prevented by revitalizing the bone area. All other procedures with refixation of the dissection or insertion of a replacement tissue have a worse prognosis, since the knee joint reacts very sensitively to even the smallest irregularities of the cartilaginous surface structure in the long term.

All articles in this series:

  1. Osteochondrosis dissecans
  2. Pathology
  3. Exclusion diseases
  4. At the elbow
  5. Diagnosis by imaging techniques
  6. Complications