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Joint Preservation Techniques for the Knee in 2023 ...
Technical Pearls for Combined Cases
Technical Pearls for Combined Cases
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Video Transcription
Video Summary
The speaker discusses the complexities of combined joint preservation procedures, particularly involving cartilage repair, osteotomy, meniscal transplantation, and ligament reconstruction. They emphasize the importance of understanding the knee as an organ, where malalignment, cartilage status, meniscal health, and ligament stability interplay and influence treatment decisions. Due to the variability in patient conditions and surgical techniques, there is no one-size-fits-all approach; individualized planning is essential. A key consideration is whether to perform procedures in one stage or multiple stages, with a low threshold recommended for staging to reduce surgical risks. The presence of osteotomy often drives staging decisions, as it can complicate fixation and graft choices. Surgical sequencing typically involves arthroscopic work first, osteotomy second, and delicate procedures like cell-based cartilage repair last. Collaboration, thorough preoperative planning, and flexibility are crucial to managing these technically demanding but rewarding cases successfully.
Asset Caption
Armando Vidal, M.D.
Keywords
combined joint preservation
cartilage repair
osteotomy
meniscal transplantation
ligament reconstruction
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