2023 Annual Meeting Biologics-Opinion_ Keep It Superficial_ SurfaceBased Treatments That Have a Track Record of Success

Opinion_ Keep It Superficial_ SurfaceBased Treatments That Have a Track Record of Success

Video Transcription

Video Summary

Derek Jones discusses treatment options for irregular chondrolesions in young athletes, emphasizing the importance of preserving the subchondral bone plate if it is undamaged. He warns against unnecessary osteochondral graft procedures, which can cause complications like graft rejection, cyst formation, and bone edema. Instead, he advocates for cartilage-based treatments such as the MACI procedure, which have shown better outcomes than microfracture, especially for larger lesions without bone involvement. Jones highlights newer surface-based techniques using cryopreserved cartilage matrix that promote healing without penetrating the bone, recommending conservative approaches unless there is a compelling reason to intervene in the subchondral bone.

Asset Caption

Deryk G. Jones, M.D

Keywords

irregular chondrolesions

subchondral bone plate preservation

osteochondral graft complications

MACI procedure

cryopreserved cartilage matrix