2024 AANA/ISAKOS Specialty Day All-Access Pass-35-Year-Old Male, Neutral Coronal Alignment Who Plays Tennis, Medial Femoral Condyle Focal 25 x 20 mm Defect Discussion & Voting

35-Year-Old Male, Neutral Coronal Alignment Who Plays Tennis, Medial Femoral Condyle Focal 25 x 20 mm Defect Discussion & Voting

Back to course

Video Transcription

Video Summary

Dr. Kosters supports patients returning to full activity, including running and sports, with immediate full weight bearing post-implant. Proper alignment is crucial to avoid tibial wear, and lesions larger than the implant area are contraindicated. Rehabilitation for osteochondral allografts is relatively quick, with partial weight bearing immediately and return to sport within 4-6 months, unlike slower MACI protocols. Use of biologics like PRP and BMAC is debated with no consensus. The discussion emphasized individualized care, careful patient selection, and ongoing research in implant techniques and rehab strategies.

Keywords

osteochondral allografts

immediate full weight bearing

tibial alignment

rehabilitation protocols

biologics PRP BMAC