2023 Annual Meeting Biologics-Modern Paradigm for Cartilage Repair and Restoration

Modern Paradigm for Cartilage Repair and Restoration

Video Transcription

Video Summary

The speaker discusses modern approaches to cartilage repair, emphasizing the complexity and nonlinearity of treatment decisions based on defect size, patient age, symptoms, and previous surgeries. They highlight a poor correlation between cartilage damage seen in imaging and symptoms, advocating "skillful neglect" when appropriate. Treatment trends include declining marrow stimulation and rising osteochondral grafts. Debridement suits smaller, symptomatic defects, marrow stimulation may benefit small lesions, and osteochondral grafts address larger or complicated cases. Managing patient expectations is crucial, aiming to reduce symptoms rather than perfect repair. The focus is shifting towards the osteochondral unit rather than just cartilage replacement.

Asset Caption

Brian J. Cole, M.D., M.B.A., FAANA

Keywords

cartilage repair

treatment decision complexity

osteochondral grafts

marrow stimulation decline

managing patient expectations