Osteochondritis dissecans

[Carrie Hardy]

Hello All!   I have received questions about a 10y/o athletic girl with a diagnosis of Osteochondritis dissecans.   She has been seen at the children’s hospital and the orthopedic surgeon is recommending “drilling into her knee” and placing darts.  Her parents are looking for additional therapies to help with her overall knee health.   Her knee is improving with rest and her cartilage is intact.  Does anyone have thoughts on utility of intra-articulate BPC or TB4, PRP, stem cells, exosomes?

Thanks!

[Kristelle Reyes]

Hello @dr-siobhannewmangmail-com, @byurthgmail-com, and @drkriswyahoo-com, we would love to have your inputs here. Thank you! 🙂

[William Seeds, MD]

@dr-carriehardygmail-com

If there is no disruption of the cartilage – then it pretty much takes care of itself. If it’s a piece of cartilage that is defective, then drilling may effect the cartilage growth.

Is the fragment loose or intact? If it’s intact but not loose – the only thing dr. Seeds would consider is the BPC-157, but he wouldn’t put it in the knee subQ or oral bPC. No TB-4 no exosomes, no stem cells. It would also depend on the amount of subcondrial edema associated with the defect. Oral collagen peptide is a must. BPC is as far as Dr. Seeds would go with that.

TB4isn’t a bad though, but it’ll be subQ.

[Carrie Hardy]

Thank you for the reply.  There is currently no disruption of the cartilage.   Collagen peptides have been recommended already and I will talk with the family about SQ BPC.

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