AANA24 Knee All-Access Pass-GENERAL SCIENTIFIC SESSION: International Innovation and AANA Advocacy (Main Stage)

Video Transcription

Video Summary

The General Scientific Session on International Innovation and Advocacy showcased global orthopedic innovations and explored advocacy in healthcare. Highlights included arthroscopic techniques for AC joint dislocation using low-cost nylon sutures from Peru, meniscal root repair advancements from Korea emphasizing expanded indications and biologic augmentation, and novel lower trapezius tendon transfer techniques for irreparable rotator cuff tears.<br /><br />Discussions on meniscus wrapping via collagen membranes from Poland demonstrated sustained 10-year meniscal preservation, while remnant-preserving ACL reconstruction using retro drills and cortical fixation was presented from Argentina. Germany showcased hybrid anatomic AC joint reconstruction combining internal bracing and hamstring autograft, and Brazil reported on challenging combined ACL-patellar tendon repair with open ACL reconstruction for early motion and strength recovery.<br /><br />Research on the knee's anterior oblique ligament from Brazil offered new insights into medial rotational stability and its role in ACL reconstruction. England provided practical tips for pediatric tibial screw placement and advocated for inside-out femoral tunnel drilling in PCL reconstruction. An advocacy session detailed Medicare payment history, challenges with prior authorization, and debates on private equity's role in orthopedic practices, underscoring the need for unified physician lobbying efforts.<br /><br />Simulation in training was featured prominently, contrasting high-fidelity augmented reality with low-fidelity knot-tying and arthroscopic simulators, emphasizing curriculum-driven perfect practice. The “Aging Athlete” session reviewed meniscal root tear management, lateral tibial plateau bone marrow edema treatment using bone marrow aspirates, and decision-making in arthroscopy amidst osteoarthritis.<br /><br />Debates compared high tibial osteotomy, unicompartmental knee arthroplasty, total knee replacement, and novel implantable shock absorbers for medial compartment arthritis in middle-aged active patients. Finally, emerging technologies such as biointegrative rebar implants for subchondral bone lesions, arthroscopic triceps repair, and quick-setting bone graft substitutes for revision ACL surgery were introduced, highlighting the future of orthopedic innovation and patient care.

Asset Caption

Introduction by Moderators: Mark R. Hutchinson, M.D., FAANA, Bonnie P. Gregory, M.D.

Keywords

orthopedic innovations

arthroscopic techniques

AC joint dislocation

low-cost nylon sutures

meniscal root repair

biologic augmentation

lower trapezius tendon transfer

meniscus wrapping

collagen membranes

remnant-preserving ACL reconstruction

hybrid anatomic AC joint reconstruction

combined ACL-patellar tendon repair

anterior oblique ligament

pediatric tibial screw placement

simulation training