2021 Annual Meeting Knee Access Pass-Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space

Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space - Osteotomy

Video Transcription

Video Summary

The speaker discusses treatment options for active 40- to 40-year-olds with unicompartmental osteoarthritis (OA) and malalignment, focusing on osteotomy versus arthroplasty. Osteotomy is recommended for younger, high-demand patients with compartment overload and moderate arthritis, while unicompartmental arthroplasty suits older, less active patients with severe disease. Studies show similar outcomes for both, with arthroplasty offering quicker recovery and fewer revisions, but osteotomy providing better function and preserving future options. Patient selection is crucial, considering severity, activity level, and expectations. Overall, osteotomy remains a valuable, joint-preserving treatment in young, active OA patients.

Asset Caption

Dr. Annunziato Amendola | Osteoarthritis and the Aging Athlete

Keywords

unicompartmental osteoarthritis

osteotomy

arthroplasty

patient selection

joint-preserving treatment