AANA25 Hip Access Pass-GENERAL SESSION: Arthroscopy Around the World (Main Stage)

Video Transcription

Video Summary

The "Arthroscopy Around the World" session, moderated by Dr. Mark Gettleman, covered advanced techniques and treatment strategies for knee, shoulder, and elbow pathologies, emphasizing global collaboration. <br /><br />For knee issues, Dr. Elisabetta Kohn discussed osteochondral defect reconstruction, favoring osteochondral scaffolds over membranes due to better bone and cartilage restoration, highlighting two scaffold types with long-term success and FDA approval. Dr. Fidelis Ring-Jing Prince presented on anterior cruciate ligament (ACL) repair versus reconstruction, stressing repair’s viability for select patients depending on tear type, tissue quality, and age, with comparable five-year outcomes to reconstruction. Giuseppe Filardo reviewed orthobiologics for knee osteoarthritis, endorsing platelet-rich plasma (PRP) injections as a safe option with some clinical benefits, especially in younger patients, but noting limitations and the need for optimized indications. Mario Rongo introduced fracturoscopy for complex tibial plateau fractures, showing improved reduction visualization and repair effectiveness over fluoroscopy alone.<br /><br />In the shoulder session, Dr. Barnak described biceps tendon augmentation to enhance rotator cuff repairs, providing mechanical support and improved healing, offering techniques for tenodesis or rerouting. Dr. Lozano covered treatment options for irreparable subscapularis tears, including various tendon transfers and anterior capsular reconstruction, with reverse shoulder arthroplasty reserved for older patients. Dr. Andreas Voss discussed individualized approaches to AC joint injuries, focusing on the importance of the AC capsule for joint stability and patient-specific decisions over rigid classification systems.<br /><br />Finally, Dr. Aragonon addressed posterolateral rotatory instability of the elbow, emphasizing the role of soft tissue injury assessment via imaging and advocating for arthroscopic multiple ligament placation techniques with high success, reserving grafts for complex cases.<br /><br />Interactive Q&A highlighted nuanced decision-making in scaffold use, ACL repair timing, PRP application in effused knees, and surgical techniques across joints, underscoring the evolving, patient-tailored nature of arthroscopic treatments worldwide.

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Keywords

arthroscopy

knee osteochondral defect

osteochondral scaffolds

ACL repair

orthobiologics

platelet-rich plasma

fracturoscopy

biceps tendon augmentation

subscapularis tear treatment

posterolateral rotatory instability