AANA24 Knee All-Access Pass-GENERAL SCIENTIFIC SESSION: The Aging Athlete, The Future is Now (Main Stage)

Video Transcription

Video Summary

The International Innovation and Advocacy session featured global experts sharing advancements in orthopedic techniques and practice, followed by a robust advocacy discussion addressing physician reimbursement and healthcare policy challenges. Highlights included arthroscopic low-cost methods for AC dislocation repair from Peru, Korean innovations in meniscus root repairs, and tendon transfers for irreparable rotator cuff tears from Peru and Poland. Argentina presented remnant-preserving ACL reconstruction, while Germany showcased hybrid anatomic AC joint reconstruction. Brazil contributed insights on complex combined ACL and patellar tendon injuries and the role of the anterior oblique ligament in knee stability. England shared strategies for pediatric tibial screw placement and PCL femoral tunnel techniques.<br /><br />The advocacy segment reviewed decades of Medicare payment reforms, explaining how physician reimbursements have declined while Medicare spending grew. Prior authorization burdens were emphasized, noting administrative challenges and advocating for reform. A lively debate explored private equity in orthopedic practices, with proponents highlighting scale and operational benefits, while opponents raised concerns about patient care quality, physician autonomy, and financial pitfalls. Orthopac emphasized the need for increased physician advocacy funding to gain influence in policymaking.<br /><br />The meeting concluded with educational sessions on arthroscopic simulation innovations, underscoring the importance of curriculum-driven, accessible low- and high-fidelity simulators for surgical training advancement. Experts reviewed management strategies for meniscal root tears and knee osteoarthritis, debating surgical options such as high tibial osteotomy, unicompartmental, and total knee arthroplasty, and emerging treatments like implantable shock absorbers.<br /><br />Innovative surgical techniques presented included arthroscopic triceps repair and quick-setting bone graft substitutes facilitating single-stage revision ACL surgeries. Overall, the conference celebrated global innovation, policy advocacy, and educational progress shaping the future of orthopedic surgery.

Asset Caption

Introduction by Moderators: Brian R. Waterman, M.D., FAANA, Michael J. O'Brien, M.D., FAANA

Keywords

International Innovation and Advocacy

orthopedic techniques

arthroscopic low-cost methods

AC dislocation repair

meniscus root repairs

tendon transfers

rotator cuff tears

remnant-preserving ACL reconstruction

hybrid anatomic AC joint reconstruction

complex ACL and patellar tendon injuries

anterior oblique ligament knee stability

pediatric tibial screw placement

PCL femoral tunnel techniques

Medicare payment reforms

physician reimbursement challenges