2023 Annual Meeting Biologics-Panel Discussion

Video Transcription

Video Summary

The panel discussion addressed challenging cartilage restoration cases. In a young female athlete with refractory medial femoral condylar pain, experts emphasized stability, alignment, and cartilage health, suggesting osteograft with meniscal repair or autografts. A complex 40-year-old woman with multifocal cartilage defects and neutral alignment highlighted the difficulty of treatment; conservative management is preferred initially, with osteochondral allografts or cell-based repairs as last resorts. The panel agreed on high caution for operating on overweight patients, stressing weight loss and biologics before surgery. Microfracture is now rarely used, mostly as a comparative control in studies, with marrow stimulation reserved for small, isolated lesions. Acute patellar dislocations with loose fragments typically require fixation and concomitant soft tissue stabilization, while smaller lateral condyle lesions may be observed. For failed prior microfracture in adolescents, options include cell-based repair or osteochondral grafts. Throughout, the experts underscored individualized treatment based on patient age, lesion characteristics, alignment, and prior interventions.

Asset Caption

Moderators: Christian Lattermann, M.S., Seth L. Sherman, M.D.
Panelists: Jack Farr II, M.D., Christopher J. Tucker, M.D., Deryk G. Jones, M.D., Kevin F. Bonner, M.D., FAANA, Paul E. Caldwell, M.D., FAANA, Thomas M. DeBerardino, M.D.

Keywords

cartilage restoration

osteograft

meniscal repair

osteochondral allografts

microfracture

cell-based repair