2021 Annual Meeting Knee Access Pass-Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space - Knee Arthroplasty: Age No Longer a Cut-off

Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space - Knee Arthroplasty: Age No Longer a Cut-off

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Video Transcription

Video Summary

In this video, a speaker discusses the treatment options for a 44-year-old attorney who has advanced grade 4 arthritis in their knee joint. The speaker reviews the pros and cons of non-operative care, arthroscopic debridement, osteotomy, and knee replacement, specifically unicompartmental knee replacement (UNI) and total knee replacement. They highlight that UNI has better pain relief and survival rates compared to osteotomy, but the functional return in sports is more controversial. The speaker also presents a systematic review on UNI and total knee replacement in young patients, showing good pain relief, sustained knee function, and relatively high survival rates. The return to sports after knee replacement is generally lower, but higher in UNI. The speaker concludes that for most patients with grade 4 arthritis, knee replacement is recommended for pain relief and return to lower-impact sports.

Asset Caption

Dr. Kevin Freedman | Osteoarthritis and the Aging Athlete

Keywords

advanced grade 4 arthritis

knee replacement

unicompartmental knee replacement

pain relief

return to sports