Pinning of Osteochondritis Dessicans

(OCD) of the Knee

Aim of Surgery

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To fix / pin the piece of bone so that it:

– Stops moving
– Stops hurting
– Allows it to heal

Before Surgery

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Pre-Operative Assessment of fitness for surgery:
– This is not normally required unless there are specific problems with your general health

Contraceptive Pill (OCP):
– It is up to you
– If you wish to stop this for 6 weeks before your surgery and use a different form of contraception that is acceptable
– If you do not wish to stop using the OCP then please tell us when you come in for your surgery and we will give you an injection while you are asleep to help prevent you getting a blood clot in your leg

In Hospital

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Scratches / Cuts
– If you have any scratches, cuts or the like on your leg when you are admitted for surgery then your operation may be postponed if Mr Lavender believes that these will pose a risk to you getting an infection at the time of your surgery

Consent
– Mr Lavender will come and see you when you arrive. He will get you to sign a form (Consent Form) agreeing to the operation and explain the risks of the surgery

Discharge
– Normally your surgery will be done as a day case, being admitted and discharged on the same day. You will require:
– To be brought to hospital by car
– To be taken home by car
– Someone to be in the house on the night of the operation
– A telephone at home

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Rehabilitation

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Walking
– You will be given a pair of crutches to help you walk
– Normally the amount of weight you can put through the operated leg is:
– None for 6 weeks
– Part of your weight for the next 2 weeks
– All of your weight after that

Physiotherapy
– The physiotherapists will teach you exercises to do before you go home. These are aimed at:
– Keeping the knee moving through a full range of movement
– Keeping the ability to get your knee straight

Stitches
– Mr Lavender usually uses clips. These do not hurt when being removed. They are usually removed after 2 weeks when you come to see Mr Lavender in the out patients department

Driving
– You are unable to drive for at least 6 weeks

Work
– This depends upon your work and should be discussed with Mr Lavender, but as a guide:
– Sedentary work (2 weeks)
– Desk job (2 weeks)
– Other jobs (8 weeks)

Sick note
– Mr Lavender will provide you with a sick note if you require one

Kneeling
– This can be done when you feel comfortable

Flying
– You are not allowed to fly for 6 weeks following your surgery, due to the risk of blood clots in your legs

Sport
– Usually this is best avoided for at least 3 months following surgery

Follow up

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Mr Lavender will normally see you 2 weeks after the operation in the out-patients department to explain what he has done and what he expects in the future.

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Info

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For more information or to gain a better understanding of the condition, download the free PDF below:

Osteochondritis Dessicans Ocd Info Sheet

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Spire Hospital

170 Barlow Moor Road

Manchester

M20 2AF

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