Treating the Younger Degenerative Knee From Osteotomy to Arthroplasty (AANA22)-Replace It! Arthroplasty in the Young Knee

Replace It! Arthroplasty in the Young Knee

Video Transcription

Video Summary

Dr. Bill Bugbee discusses joint preservation versus arthroplasty for knee osteoarthritis, sharing 25 years of experience. He emphasizes individualized decision-making over surgical approach and notes joint preservation is often a lifelong journey, while arthroplasty is a final destination. Arthroplasty now offers improved implant longevity, high satisfaction, and fewer reoperations, even for under-50 patients, sometimes outperforming cartilage repair in function. However, joint preservation remains preferred for younger patients. He highlights complexities like multifocal disease with good X-rays but poor MRIs, noting arthroplasty outcomes vary. Advanced robotics and personalized alignment enhance arthroplasty success, especially in degenerative patellofemoral disease.

Asset Caption

William D. Bugbee, M.D.

Keywords

knee osteoarthritis

joint preservation

arthroplasty

cartilage repair

advanced robotics