Cartilage Conundrums in 2023: Cases From the Experts (2023 Annual Meeting)-OrthoBiologics Case Discussion

Video Transcription

Video Summary

The panel discusses managing challenging cartilage defects in young athletes. A 28-year-old volleyball player with bipolar chondromalacia undergoes staged arthroscopy and osteochondral allografting combined with autologous cartilage restoration and tibial tubercle osteotomy. Autologous cartilage paste offers a cost-effective way to treat trochlear lesions alongside patella grafts. Another case of a 20-year-old soccer player with valgus alignment, meniscal deficiency, and lateral femoral condyle defect highlights the complexity of treatment. Consensus emphasizes correcting malalignment via osteotomy, cautious use of osteochondral allografts, and individualized decisions on meniscal transplantation, balancing function, durability, and return-to-play goals.

Asset Caption

Rachel Frank, M.D. | Brian Cole, M.D.

Keywords

cartilage defects

arthroscopy

osteochondral allografting

autologous cartilage restoration

tibial tubercle osteotomy