AANA19 Knee Access Pass-Return to Work Following Isolated Opening Wedge High Tibial Osteotomy-Dr. Adam Yanke, M.D., PhD.

Return to Work Following Isolated Opening Wedge High Tibial Osteotomy-Dr. Adam Yanke, M.D., PhD.

Video Transcription

Video Summary

The speaker discusses the importance of staging arthroscopy in managing knee chondral defects, present in about 30% of the population. MRI’s diagnostic accuracy varies, with limitations that may lead to missed or incorrect assessments. A meta-analysis found MRI sensitivity at 75% and specificity at 94%, but negative MRI shouldn’t rule out arthroscopy when clinical suspicion remains. Their retrospective study of 98 patients showed staging arthroscopy changed surgical plans in over one-third, including detection of previously unseen lesions and modifications in treatment approaches. Despite limitations, the study underscores staging arthroscopy’s crucial role in effectively guiding knee cartilage surgery.

Keywords

staging arthroscopy

knee chondral defects

MRI diagnostic accuracy

surgical plan modification

knee cartilage surgery