Patient Story · Video
A decade of knee pain since age 8 — and the first day she could remember being pain-free.
Diagnosed with osteochondritis dissecans (OCD) at age 8, Gianna grew up watching from the sidelines. A childhood microfracture bought time but the pain returned in 10th grade. Dr. Gomoll performed a cartilage transplant — and within 5½ weeks post-op, she knew it was working.
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Transcript
In Gianna's words
“I just want to walk up that flight of steps without taking a break.”
I remember going to a birthday party that was ice skating, and I couldn't participate. My knees couldn't withstand the demands of the ice. I had to sit there — like I did a lot when I was younger — and watch a lot of kids do the things I wanted to do.
My condition started when I was 8. It's called osteochondritis dissecans. At about 12 years old we came to HSS, and another doctor here performed a microfracture — drilling tiny little holes in the bone to trick the body into healing the area. That bought me a lot of time and a lot of pain-free moments. But by 10th grade, the pain was coming back.
“He said, well, it all depends on your definition of success. I said, I just want to be active without having pain — to walk up that flight of steps without taking a break at 18 years old. He said, if that's your definition of success, that's what we're going to try and reach.” — Gianna
Beginning of my freshman year of college I went back. The doctor referred me to Dr. Gomoll. We ended up doing a cartilage transplant, and at the same time repairing some of the bony changes that had happened.
Recovery was hard — I was non-weight-bearing for a good six weeks. But at the five-and-a-half-week post-op mark I already felt a difference. I already knew that this pain was not going to last long. Since I was put in my second brace and it gave me more mobility, I went into the gym every day even on crutches and I was able to lose 43 pounds.
He gave me my life back. I came back and said: this is literally the first time, as long as I can remember, that I don't have any pain. Exactly what he said was going to happen — is exactly what happened.
About the procedure
Osteochondral Allograft Cartilage Transplantation
For larger or recurring cartilage defects that have already failed a microfracture (as in Gianna's case), an osteochondral allograft transplant replaces the defect with a precisely-sized plug of donor bone and cartilage — restoring the original joint contour and the protective cartilage surface. The added bony repair addresses any structural changes underneath the cartilage. More on cartilage repair →
Osteochondritis Dissecans (OCD)
OCD is a condition in which a focal area of cartilage and the bone beneath it lose blood supply, weaken, and can fragment off into the joint. In children, microfracture sometimes works as a temporizing measure — but recurrent OCD in young adults usually needs definitive replacement of the surface. Learn more →
Read more patient stories
Hear from more of Dr. Gomoll's patients in their own words about how they got back to the lives they love.