APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Track 2: Optimizing Cartilage Restoration: Microfractures, OATS

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Video Summary

Dr. Cruz from Mexico City discusses strategies for optimizing cartilage repair in knee injuries. Articular cartilage is highly organized and varies by location and load. Common knee injuries require different treatments based on severity. Strategies include conservative methods like medication and weight management, rehabilitation, and potentially surgery if symptoms persist. Surgical options range from debridement and microfractures to osteochondral transport and joint replacement. Microfracture promotes bone marrow stimulation but may not provide lasting results, especially in trouble spots like the patella and trochlea. Technological advancements are enhancing surgical techniques, incorporating osteochondral allografts and new microfracture systems. Emerging methods, like microfracture plus synthetic and collagen scaffolds, show promise. The discussion emphasizes the challenges of treating knee injuries, suggesting treatments vary depending on injury size and patient profile. While traditional methods are evolving, new approaches aim to improve long-term outcomes.

Asset Caption

Faculty: Francisco Cruz Lopez, M.D.

Keywords

cartilage repair

knee injuries

surgical techniques

microfracture

osteochondral allografts

rehabilitation