Cartilage Injury of the Knee: Current Controversies in 2022 (AANA22)-Cartilage Cases

Video Transcription

Video Summary

The video discusses a case of a 55-year-old female who is experiencing worsening medial pain in the knee. Despite various non-operative treatments, including injections and physical therapy, the patient remains miserable and has not shown improvement. The MRI reveals early degenerative changes and bone marrow edema. The physicians debate the best course of action, considering options such as a BMAC injection, staging scope, meniscus repair, and potential cartilage transplant. Ultimately, they opt for decompression of the bone marrow edema and use demineralized bone matrix and PRP to provide pain relief. The patient experiences immediate relief and shows signs of healing on follow-up MRIs. The video also briefly touches on repairing a cartilage fragment in a 12-year-old patient.

Asset Caption

Aaron J. Krych, M.D.

Keywords

medial pain

bone marrow edema

decompression

demineralized bone matrix

PRP