AANA19 Knee Access Pass-Questions and Answers_ Concurrent Scientific Session I_ Symposium - Knee Challenges-Dr. K Donald Shelbourne, M.D.

Questions and Answers_ Concurrent Scientific Session I_ Symposium - Knee Challenges-Dr. K Donald Shelbourne, M.D.

Video Transcription

Video Summary

The discussion covers post-surgery activity, emphasizing cautious running to avoid implant wear. Extension is crucial for knee function; surgeons typically avoid extension osteotomies, preferring non-operative methods to restore native knee extension by addressing intra-articular issues. Removing posterior osteophytes arthroscopically can relieve mechanical extension blocks, delaying total knee surgery. Physical therapy is valuable for arthritis patients, especially to restore extension, often reducing the need for total knee replacement. Regarding opening wedge osteotomy, a 15-degree correction is the upper safe limit without compromising the lateral cortex or patellar tendon length, with good clinical outcomes.

Keywords

post-surgery activity

implant wear

knee extension

arthroscopic osteophyte removal

opening wedge osteotomy