AANA19 Knee Access Pass-Return to Work Following Isolated Opening Wedge High Tibial Osteotomy-Dr. Adam Yanke, M.D., PhD.

Return to Work Following Isolated Opening Wedge High Tibial Osteotomy-Dr. Adam Yanke, M.D., PhD.

Video Transcription

Video Summary

In this video, the speaker discusses the importance of staging arthroscopy for chondral defects of the knee. They mention that chondral defects are found in about 30% of the general population. In patients under 40, a focal lesion of at least 1 to 2 centimeters may benefit from cartilage restoration surgery. The speaker discusses different studies on the diagnostic performance of MRI in identifying cartilage abnormalities, noting varying results due to methodology differences. They also discuss the accuracy of MRI in grading chondral defects, with an overall sensitivity of 75% and specificity of 94%. The speaker concludes that a negative MRI should not rule out diagnostic arthroscopy for patients with clinical suspicion. The video then presents a study on staging arthroscopy and its impact on surgical plans. The study included patients undergoing autologous chondrocyte implantation, osteochondral allograft transplants, and meniscal allograft transplants. Out of 98 patients, 37 had a change in treatment plan following staging arthroscopy. This included detecting previously undetected lesions, changing from cartilage restoration surgery to debridement, and altering the approach to meniscal pathology. The study acknowledges limitations such as its retrospective design and small sample size. Overall, staging arthroscopy was found to influence a change in surgical plan in over a third of the patients.

Asset Caption

Concurrent Scientific Session 1: Paper Presentations - Knee 5.4.2019

Keywords

arthroscopy

chondral defects

surgical plans

MRI

cartilage restoration surgery