My left knee i have 2 bakers cysts , osteochondritis dissecans, ortho speciaists, did cortisone shots, physical therapy, still chronic pain what to do?

Pain like many other: Condition can be chronic , treating can decrease the severity of it but does not cure it.

Surgery: Generally bakers cyst are related to intraarticular problem. If the ocd does not respond to conservative management may require surgical intervention.

Unresponsive surgery: It has been unresponsive so surgery is probably needed. Depending on location and size there are several options. Big pieces can sometimes be fixed back. Chronic pieces often need removal. If a piece is removed, there are several void filling options. These range in success and vary in technique and surgeon skill. Options include: drilling defect, paste graft, OATS, Denovo stem cell fill, and more