AANA/SOMOS Course Materials (August 2021)-Sunday Morning Lectures

Video Transcription

Video Summary

The video features a comprehensive medical symposium covering meniscus transplantation and orthobiologics in joint repair. Dr. John Kelly opens discussing meniscus transplant—emphasizing patient selection, surgical techniques, the underused role of osteotomies, and the time-limited efficacy of the procedure. He highlights the importance of treating symptomatic patients with minimal cartilage wear and correcting alignment. Survival rates are moderate, with civilian return to sports better than military return to combat, which remains low.<br /><br />Next, a specialist reviews current evidence on orthobiologics, such as corticosteroids, hyaluronic acid (HA), platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and stem cells. Corticosteroids offer short-term relief; HA yields marginal benefits; PRP shows promise but lacks standardization; BMAC and stem cells require more research with some safety concerns. The need for targeted treatment based on specific joint pathology is stressed.<br /><br />Finally, a study on tibial plateau morphology reveals a “biconcave tibial plateau” correlates with complex medial meniscal tears and poor healing outcomes, impacting surgical decisions. The session concludes with encouragement to join the Arthroscopy Association of North America (ANA) for ongoing education and research collaboration.

Keywords

meniscus transplantation

orthobiologics

joint repair

osteotomies

patient selection

corticosteroids

platelet-rich plasma

biconcave tibial plateau

medial meniscal tears