Cartilage Injury of the Knee: Current Controversies (2021 Annual Meeting)-Cartilage Injury of the Knee: Current Controversies in 2021-Gomoll

Video Transcription

Video Summary

In the video, the speaker discusses cell-based cartilage repair options in 2021. They mention an increase in the number of options available compared to 15 years ago, with a focus on cartilage allograft and MACI procedures. Cell-based therapy is described as a slow process that takes time to mature, similar to microfracture and ACI procedures. The speaker explains the stages of cartilage repair, from the initial vascularized and underfilled tissue to the final stage where it resembles cartilage. They emphasize the importance of patient patience and protection during the recovery process. The speaker also discusses particular juvenile allograft cartilage, or PJEC, as a cell delivery vehicle that can be used for smaller defects that may not require an osteochondral allograft or MACI. They explain the technique and considerations for using PJEC. The speaker then discusses MACI in more detail, highlighting its two-stage procedure and different techniques for preparation and implantation. They discuss the indications, advantages, and limitations of MACI. The importance of proper documentation and avoiding terms that may trigger insurance denials or peer-to-peer reviews is also emphasized. The speaker concludes by discussing the challenges and costs associated with cartilage repair procedures, and the ongoing improvement in data availability and insurance coverage for these options. The video does not mention any specific credits or sources.

Asset Caption

Dr. Andreas Gomoll

Keywords

cell-based cartilage repair

cartilage allograft

MACI procedure

microfracture

ACI procedure

cartilage repair stages