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Surgery usually involves removing the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone. The goal of the surgery could be to. Pin On Platelet Rich Plasma The condition happens most often in the. Osteochondritis dissecans surgery . If osteochondritis dissecans is not recognized early the bone fragment may not heal and may continue to cause problems. Secure a loose bone fragment to allow it to heal. Stimulate an unhealthy area of the bone to heal. It occurs when a small segment of bone begins to separate from its surrounding region due to a lack of blood supply. Surgery may be recommended for patients with large lesions or those that have separated from the bone. Surgical care is suggested primarily by taking into account the stabilization of the lesions clinical symptoms and physical closure. If the fractured bone has completely detached it can get caught between joints causing pain. Other factors are also consid