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Tibial Osteochondral Lesion (OCL) Infill

What is a Tibial OCL of the Ankle?

A tibial OCL is a cartilage and bone defect of the tibial plafond of the ankle joint. It is a rare diagnosis, every 1 in every 20 ankle osteochondral lesions are located in the tibial plafond. Usually they are trauma induced. Dr. Kennedy and his team have recorded one of the largest series of tibial OCL’s.

Tibial OCL Infill Procedure

The surgery is performed under general anesthesia. It involves the following steps: 

  • It is done arthroscopically 
  • A scope is introduced to the affected joint. The joint is debrided of all inflamed synovium and scar tissue.
  • Once the joint is cleared, Bone marrow stimulation is done by creating a bleeding bed and biocartilage is injected to infill the osteochondral lesion.
  • Bone marrow concentrate, drawn from the patient’s iliac crest, is injected into the joint to promote healing and growth factors. 

Outcome of Tibial OCL Infill Procedure

Patients typically experience reduced pain with improvement in the movement and functioning of the foot. Complications are rare.

Dr. Kennedy has seen over a 80% success rate.

Articles

Incidence of Coexisting Talar and Tibial Osteochondral Lesions Correlates With Patient Age and Lesion Location

Functional and MRI outcomes after arthroscopic microfracture for treatment of osteochondral lesions of the distal tibial plafond

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