Elbow Dysplasia Surgical Option 2. Osteochondrosis Dessicans (OCD) Flashcards
What is OCD?
Osteochondrosis Dessicans is inflammation of bone and cartilage that results in splitting of cartilage pieces into the affected joint
It most commonly affects the shoulder joint, but can an effect the elbow, hip, or stifle joints
The cartilage flap should be removed as soon as a diagnosis is given to reduce the patient developing degenerative joint disease (DJD).
Patient Prep for
1. Shoulder Arthroscopy of the distal humerus
For shoulder arthroscopy of the distal humerus the patient is clipped from the shoulder to the carpus, including the circumference of the limb.
Patient Prep for
2. Shoulder Arthroscopy of the proximal humerus
For shoulder arthroscopy of the proximal humerus the patient is clipped from dorsal midline to the elbow including the circumference of the limb.
Patient Prep for
3. Stifle Arthroscopy
For stifle arthroscopy the patient is clipped from the hip to the tarsus.
Patient position for the distal humerus OCD patient
placed in dorsal recumbency with the limb suspended for draping
Patient position for the proximal humerus
the patient is placed in lateral recumbency with the affected limb uppermost.
Patient Position for the stifle patient
patient is placed in dorsal recumbency with the limb suspended for draping.
Instruments and materials
An arthroscope, four quarter drapes, Rochester Ochsner forceps and a general surgical kit is required.
Surgical Procedure
Arthroscopy is the preferred method for removing the cartilage flap and provides excellent visualisation for OCD lesions.
Post op care
Depending on the type of surgery and location of the OCD, most patients are rested for 6-8 weeks. Studies have shown that a formal physiotherapy regime can decrease post-operative recovery time.
