2023 Specialty Day Access Pass-Algorithm for Symptomatic Chondral Defects

Algorithm for Symptomatic Chondral Defects

Video Transcription

Video Summary

Christian Latterman discusses an algorithm for treating symptomatic chondral defects, emphasizing pain, swelling, and activity level as key indicators. Small to medium defects have many treatment options but lack definitive evidence, while large defects require more aggressive intervention. Lesion size and location matter, especially in high-traffic areas like the lateral femoral condyle and medial femoral condyle, which need structural support. Effective treatments with evidence include osteochondral allografts and MACI. Managing patient expectations and thorough assessment are crucial. Rehabilitation should emphasize accelerated weight-bearing and muscle strengthening. Successful treatment demands planning, technical skill, and understanding of patient-specific factors.

Asset Caption

Christian Lattermann, M.D.

Keywords

symptomatic chondral defects

lesion size and location

osteochondral allografts

MACI treatment

rehabilitation and muscle strengthening