AANA25 Shoulder 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 evolving treatments for knee, shoulder, and elbow arthroscopic interventions, emphasizing global expertise and innovation. Dr. Elisabetta Kohn discussed osteochondral knee defects, advocating for direct osteochondral scaffolds over membranes, highlighting two main scaffolds—hydroxyapatite-collagen and coral-based scaffolds—with promising long-term results, especially in young, active patients and early osteoarthritis cases. Dr. Fidelis Ring-Jing Prince examined ACL injuries, differentiating between repair and reconstruction based on tear type, tissue quality, and patient age, underscoring ACL repair as a viable alternative in select cases with comparable outcomes to reconstruction. Giuseppe Filardo presented on orthobiologics for knee osteoarthritis, emphasizing platelet-rich plasma (PRP) injections’ clinical benefits over corticosteroids and hyaluronic acid, despite challenges like placebo effects and patient selection, noting PRP’s potential modifiability and future optimization through higher platelet concentrations. Mario Rongo introduced "fracturoscopy" for complex tibial plateau fractures, combining arthroscopy with open fixation to improve fracture reduction accuracy, detect associated injuries, and enhance prognosis. Shifting to the shoulder, Dr. Barnak described biceps tendon augmentation to augment massive rotator cuff repairs, offering a cost-effective, biologically and mechanically sound option that enhances repair outcomes. Dr. Lozano addressed irreparable subscapularis tears, reviewing tendon transfer options—pectoralis major/minor, latissimus dorsi, and a novel lower trapezius technique—and highlighted treatment individualization based on patient factors. Dr. Andreas Voss discussed AC joint injury management, emphasizing patient-specific approaches rather than relying solely on Rockwood classification, focusing on restoring strut function and addressing AC capsule instability. Finally, Dr. Argyun elaborated on posterolateral rotatory instability of the elbow, highlighting the importance of soft tissue integrity, diagnostic imaging, and minimally invasive arthroscopic ligament repair techniques with promising functional outcomes. Overall, the session showcased diverse, evolving arthroscopic strategies, balancing innovation with individualized patient care across major joints.

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Keywords

Arthroscopy

Knee osteochondral defects

Osteochondral scaffolds

ACL repair vs reconstruction

Orthobiologics for knee osteoarthritis

Platelet-rich plasma (PRP) injections

Fracturoscopy

Biceps tendon augmentation

Subscapularis tendon transfer

AC joint injury management