2021 AOSSM-AANA Combined Annual Meeting Recordings-Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space - Knee Arthroplasty: Age No Longer a Cut-off

Debate: 44-year-old Attorney Who Enjoys Hiking & Cycling, No Medial Joint Space - Knee Arthroplasty: Age No Longer a Cut-off

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Video Transcription

Video Summary

In this video, the speaker discusses the treatment options for a 44-year-old attorney with advanced grade four arthritis in the knee. The options include non-operative care, arthroscopic debridement, osteotomy, and knee replacement, both UNI (Unicompartmental Knee Replacement) and total knee replacement. The speaker highlights that UNI provides better pain relief and survival compared to HTO (High Tibial Osteotomy), but the functional return to sports is more controversial. The speaker also presents a systematic review of UNI and total knee replacements in young patients (55 and younger), showing good pain relief and range of motion sustained over several years. The return to sports after knee replacement is limited, but UNI may have slightly better outcomes. Recent studies also suggest similar outcomes between UNI and total knee replacement for isolated medial compartment OA. The speaker concludes that for most patients with grade four arthritis, knee replacement is the recommended option, considering pain relief, return to lower impact sports, and survival.

Asset Caption

Kevin Freedman, MD

Keywords

treatment options

advanced grade four arthritis

knee replacement

UNI

pain relief