2024 AANA/ISAKOS Specialty Day All-Access Pass-Cartilage Debate Speaker #2:Biologic Press-Fit Customized Metal Implant

Cartilage Debate Speaker #2:Biologic Press-Fit Customized Metal Implant

Video Transcription

Video Summary

Dr. Koster presents a new treatment for osteochondral defects using patient-specific mini metal implants for middle-aged patients with failed biological repairs, neutral knee alignment, and intact meniscus. The procedure involves MRI-based damage mapping, 3D-printed drill guides, and precise implant placement slightly below the cartilage surface. Benefits include restoring the native joint surface with high accuracy and low revision rates, supported by European studies. Proper patient selection and surgical technique, especially regarding alignment and meniscus health, are crucial for success. This technique offers a promising alternative for treating cartilage insufficiencies in the knee.

Asset Caption

Clemens Kösters, P.D., Dr. Med.

Keywords

osteochondral defects

mini metal implants

knee cartilage repair

3D-printed drill guides

patient-specific treatment