Cartilage Injury of the Knee (AANA20)-Bone involvement_ Osteochondral solutions make it easy-Dr. Paul E. Caldwell, M.D.

Bone involvement_ Osteochondral solutions make it easy-Dr. Paul E. Caldwell, M.D.

Video Transcription

Video Summary

The lecture addresses knee chondral lesions, emphasizing the growing use of osteochondral grafts that treat both cartilage and subchondral bone. Such lesions are common, affecting athletes and arthroscopy patients. Treatment decisions depend on lesion size and patient factors like activity and knee environment. Osteochondral autografts offer quicker sports return but are limited to small lesions. Osteochondral allografts are versatile, single-stage options with long-term durability but are costly and complex. Return to high-level sports occurs in about two-thirds of cases. Combined procedures like osteotomy improve outcomes. Emerging techniques include fresh pre-cut allograft cores. Overall, osteochondral solutions enhance cartilage restoration by addressing the entire osteochondral unit.

Keywords

knee chondral lesions

osteochondral grafts

osteochondral autografts

osteochondral allografts

cartilage restoration