APEX Knee Navigating Pearls and Pitfalls-Dealing with Failed Cartilage Surgery

Video Transcription

Video Summary

In this video, Andreas Gomahl discusses the failure of cartilage repair and how to manage it. Gomahl begins by disclosing his affiliations with companies involved in cartilage repair. He explains that failures and complications are common in cartilage repair and that it is important to have a plan B in case something goes wrong. Gomahl discusses the different ways in which cartilage repair can fail, such as disease progression, delamination, biologic failure, and collapse. He also explores the reasons why cartilage repair may fail, including bad luck, patient-related factors, cytoplasmic issues, product quality, and procedural errors. Gomahl emphasizes the importance of accurate diagnosis and the need to identify structural reasons for pain. He advises against performing unnecessary procedures and recommends careful decision-making and setting realistic expectations for revision surgeries. Gomahl concludes by discussing the success rates of revision surgeries and the importance of learning from previous failures to improve future outcomes.

Asset Caption

Dr. Andreas Gomoll

Keywords

cartilage repair

failure management

revision surgeries

diagnosis

procedural errors

patient factors

structural pain