Cartilage Injury of the Knee: Current Controversies (2021 Annual Meeting)-Cartilage Injury of the Knee: Current Controversies in 2021-Caldwell

Cartilage Injury of the Knee: Current Controversies in 2021-Caldwell

Video Transcription

Video Summary

The speaker discusses advances in cartilage treatment, focusing on bone involvement and osteochondral allograft procedures. Cartilage restoration is growing, with osteochondral allografts seeing a 52% increase from 2016-2019, preferred for larger lesions (>2.5 cm). Challenges include precise lesion sizing, limitations of MRI, and surgical learning curves. Osteochondral autograft transfer (OATS) offers faster return to sports for smaller lesions. Allografts transplant mature hyaline cartilage and bone from donors, requiring careful matching and timely use due to risks, cost, and complexity. Outcomes show about 75% graft survival over 12 years, with 75-88% return to pre-injury activity levels in 9 months to a year. Technical tips stress careful graft preparation, importance of training, and matching grafts by size and location. The talk emphasizes realistic patient expectations and evolving cartilage repair options amid regulatory changes, ending with a nod to ongoing education in emerging techniques.

Asset Caption

Dr. Paul E. Caldwell

Keywords

cartilage restoration

osteochondral allografts

osteochondral autograft transfer (OATS)

lesion sizing challenges

graft survival rates