2023 Annual Meeting Knee Access Pass-Bone Marrow Edema Syndrome With Early Osteoarthritis: What's Next?

Bone Marrow Edema Syndrome With Early Osteoarthritis: What's Next?

Video Transcription

Video Summary

Ken Zaslav discusses bone marrow edema syndrome in early arthritic knees, emphasizing that it's often secondary to osteoarthritis and involves complex subchondral bone changes rather than fluid accumulation. Symptoms include bone pain linked to vascular and structural bone alterations. Conservative treatments involve unloading techniques like activity modification and braces. New approaches include the FDA-approved knee implantable shock absorber and biologics such as PRP and concentrated bone marrow aspirate concentrate (BMAC) injections, which have shown promising long-term pain relief and delayed need for knee replacement. Emerging methods also use biointegrative implants to support subchondral fractures. Subchondroplasty has limited use due to complications.

Asset Caption

Kenneth Zaslav, M.D.

Keywords

bone marrow edema syndrome

early arthritic knees

osteoarthritis

implantable shock absorber

biologics PRP BMAC