AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Dealing with Complications and Failures in Articular Cartilage Surgery

Dealing with Complications and Failures in Articular Cartilage Surgery

Video Transcription

Video Summary

Nick Scaglione discusses complications and failures in articular cartilage surgery, emphasizing a comprehensive approach: proper patient assessment, surgical technique, addressing comorbidities, and focused rehabilitation. He reviews data on common procedures like debridement, microfracture, OATS, allografts, and cell-based therapies, noting generally low complication rates but highlighting challenges such as graft failure, donor site morbidity, and osteophyte formation. Scaglione stresses the importance of addressing malalignment and concomitant issues, cautious use of marrow stimulation, and advances in cell-based procedures reducing periosteal hypertrophy. He advocates fresh cold-stored osteochondral allografts for revision surgeries to improve outcomes.

Keywords

articular cartilage surgery

complications and failures

surgical techniques

cell-based therapies

osteochondral allografts