Treating the Younger Degenerative Knee From Osteotomy to Arthroplasty (AANA22)-Patellofemoral Disease

Video Transcription

Video Summary

The speaker discusses challenges and treatments for patellofemoral joint cartilage damage, emphasizing non-arthroplasty approaches to delay or avoid knee replacement. Options include autologous chondrocyte implantation (ACI), whole tissue transfers (OATs, OCAs), and newer cell-based therapies like matrix-induced ACI and single-stage juvenile cartilage implants (P-jack). Patient-specific factors and recovery time heavily influence treatment choice. Tibial tubercle osteotomy (TTO) for unloading and realignment plays a critical role in optimizing outcomes by improving joint biomechanics. Case examples illustrate tailored approaches combining cartilage restoration and osteotomy to relieve symptoms and restore function, highlighting long-term advantages and manageable complications.

Asset Caption

Michael R. Karns, M.D.

Keywords

patellofemoral joint

cartilage damage

autologous chondrocyte implantation

tibial tubercle osteotomy

cartilage restoration