Chondral Injury of the Knee: Current Controversies in 2019 (AANA19)-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 presentation covers advances in treating focal cartilage defects, emphasizing the osteochondral unit—cartilage and underlying bone. Trends show a shift from palliative (chondroplasty, microfracture) to restorative treatments like osteochondral autograft (OAT) and allograft. OAT uses the patient's tissue for smaller lesions (~2 cm²) with quicker recovery, while allografts transplant donor tissue for larger defects but involve higher cost, availability issues, and longer rehab. Outcomes show good return-to-sport rates (77-93%) with variable timelines. The speaker highlights the importance of treating the entire lesion, accurate lesion sizing via diagnostic arthroscopy, and patient-specific planning. New techniques like BMAC augmentation show promise.

Asset Caption

Instructional Course Lecture: Chondral Injury of the Knee: Current Controversies in 2019

Keywords

focal cartilage defects

osteochondral unit

osteochondral autograft (OAT)

allograft transplantation

BMAC augmentation