2023 AOSSM Annual Meeting Recordings with CME-What to Do with the Cartilage

Video Transcription

Video Summary

The video discusses the case of a 33-year-old former NBA player with hip pain and cartilage defects. The patient had previous treatments and images revealed subchondral bone marrow edema and a labral tear. The video explores the need to identify and evaluate these cartilage lesions preoperatively and determine the appropriate treatment. It discusses research diagnostic algorithms, the impact of tonus grading, and the potential effects of cartilage defects on joint degeneration. Different treatment options are examined, including microfracture, surgical hip dislocations, and bulk allograft transplants. The speaker presents their own procedure called the AMEC procedure, which involves transplanting cartilage from the femoral head to the acetabulum. The viability of this cartilage is supported by data. The conclusion suggests that larger lesions may require alternative options and microfracture should be approached with caution. Overall, the video highlights the ongoing research and challenges in treating cartilage defects in the hip. No credits were given.

Asset Caption

Travis Maak, MD

Keywords

hip pain

cartilage defects

preoperative evaluation

microfracture

AMEC procedure