APEX Knee Navigating Pearls and Pitfalls-Cartilage Injury with PF Instability: How do I Manage?

Video Transcription

Video Summary

In this video, Andreas Gamal, a healthcare professional from the Hospital for Special Surgery in New York, discusses the association between osteochondral defects, cartilage repair, and patella-femoral instability. He begins by stating that cartilage damage is common in patella instability, with more than 90% of patella dislocations resulting in some form of cartilage damage. He emphasizes the importance of getting MRI scans for patients with patella dislocations, as it helps in determining the risk of recurrence and the need for treatment. Gamal explains that the decision-making process for these patients aims to prevent recurrent patella instability and preserve joint integrity. He discusses various cartilage repair options, including removal, repair, and reconstructive procedures, such as microfracture, osteochondral autograft, allograft transplantation, and other techniques like matrix autologous chondrocyte implantation (MACI) and perforated allograft cartilage. He concludes by recommending an individualized approach based on factors like bone quality, defect size, and treatment availability.

Asset Caption

Dr. Andreas Gomoll

Keywords

osteochondral defects

cartilage repair

patella-femoral instability

MRI scans

microfracture

autologous chondrocyte implantation