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

Video Transcription

Video Summary

At the "Arthroscopy Around the World" session moderated by Dr. Mark Gettleman, experts discussed knee, shoulder, and elbow arthroscopic advancements focusing on complex treatments and innovations. <br /><br />Dr. Elisabetta Kohn presented on osteochondral defects of the knee, emphasizing the superiority of osteochondral scaffolds over membranes alone for bone and cartilage regeneration. Two scaffolds discussed were a collagen-hydroxyapatite synthetic scaffold with 15 years of use and a newly FDA-approved coral-based scaffold in the U.S., both showing promising long-term clinical outcomes, especially in young, active patients.<br /><br />Dr. Fidelis Rangjin Prince addressed ACL tears, advocating for selective ACL repair based on tear type, tissue quality, and patient age, while recognizing reconstruction remains standard. His data indicate comparable failure rates and improved functional outcomes with repair in suitable cases.<br /><br />Giuseppe Filardo reviewed orthobiologics for knee osteoarthritis, highlighting platelet-rich plasma (PRP) efficacy over placebo, corticosteroids, and hyaluronic acid, especially in younger patients with less degeneration. He underscored the importance of patient selection, platelet concentration, and the limited additional benefit of cell-based therapies.<br /><br />Mario Rongo introduced “fracturoscopy” for complex tibial plateau fractures, showing arthroscopic assistance improves fracture reduction accuracy, detects associated ligament and meniscal injuries, and potentially lowers complications, though long-term comparative studies are forthcoming.<br /><br />In shoulder talks, Dr. Barnik discussed biceps tendon augmentation for massive rotator cuff tears as a cost-effective, biological repair enhancer with good outcomes. Dr. Lozano reviewed irreparable subscapularis tears, presenting tendon transfers and reverse arthroplasty as options based on patient age and tissue status. Dr. Andreas Voss emphasized individualized approaches for AC joint injuries, stressing the importance of AC capsule and strut function beyond traditional classifications.<br /><br />Dr. Argyun detailed posterolateral rotatory instability of the elbow, focusing on soft tissue injury assessment and arthroscopic multiple ligament plication as a preferred treatment over open reconstruction in most cases.<br /><br />Overall, the session highlighted evolving arthroscopic techniques emphasizing individualized patient selection, biological augmentation, and the integration of arthroscopy in trauma and joint preservation.

Asset Caption

Keywords

arthroscopy

knee osteochondral defects

osteochondral scaffolds

ACL repair

platelet-rich plasma

fracturoscopy

tibial plateau fractures

biceps tendon augmentation

rotator cuff tears

posterolateral rotatory instability