2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #2: Primary Nonoperative Treatment

Debate Speaker #2: Primary Nonoperative Treatment

Video Transcription

Video Summary

The transcript discusses Patrick Mahomes' first-time patella dislocation in 2019, which sparked global interest and expert debates about surgery versus conservative treatment in athletes. A 2023 Cochrane review found uncertain benefits of surgery in reducing redislocation or improving knee function. Various classification tools help assess redislocation risk; for moderate-risk patients, aggressive non-operative rehab is preferred over surgery, allowing quicker sports return with manageable risk. Surgery poses longer recovery and potential complications. The speaker emphasizes individualized treatment decisions and promotes further discussion at an upcoming Munich conference.

Asset Caption

Laurie A. Hiemstra, M.D., Ph.D., F.R.C.S

Keywords

Patrick Mahomes

patella dislocation

surgery vs conservative treatment

redislocation risk assessment

Munich conference