2024 AOSSM Annual Meeting Recordings-Concurrent Session B: Surgical Management of Complex Knee Sports Injuries: A Global Perspective from ISAKOS

Video Transcription

Video Summary

The symposium, led by David Parker from ISACOS, addressed a range of knee injuries and their treatment options, including recovery expectations and operative techniques. Parker introduced the panel, consisting of global experts like Alan Getgood, Eliza Aron, David Figueroa, Kyle Martin, Volker Masell, Rachel Frank, Dave Lee, Seth Sherman, and Mathieu Olivier, each contributing insights into complex orthopedic cases.<br /><br />Cases discussed included a 14-year-old with knee pain and potential OCD, and complex surgical decisions for a 32-year-old with previous ACL/PCL reconstruction failures and valgus alignment. Surgical planning tools, alignment considerations, and the importance of precise corrections were emphasized to avoid prolonged problems or further surgeries. The use of technologies like planning software and 3D guides was highlighted for these complex corrections.<br /><br />Further discussion focused on patellar instability in a 22-year-old with recurrent dislocation due to femoral internal torsion. The panel debated various surgical interventions, including femoral osteotomy with external rotation and MPFL reconstruction, stressing the importance of addressing underlying issues like rotational deformities alongside soft tissue repairs for better outcomes.<br /><br />Finally, David Parker presented a non-surgical management case of a 13-year-old with a PCL avulsion demonstrated by MRI. The consensus leaned towards conservative treatment using a PCL stabilizing brace, showing good long-term outcomes without surgery.<br /><br />Overall, the panel discussions underscored the importance of a nuanced understanding of each injury, leveraging new surgical techniques and planning tools while carefully considering operative versus non-operative management strategies based on individual patient characteristics and injury specifics.

Asset Caption

10:45 am - 11:45 am

Meta Tag

Concept Osteochondral Lesion

Concept Osteotomy

Concept Patellofemoral Instability

Concept Posterior Cruciate Ligament Injury

Concept Surgical Intervention

Speaker David Parker, MBBS, BMedSc, FRACS, FAOrthA

Speaker Alan Getgood, MD, FRCS

Speaker Elizabeth Arendt, MD

Speaker David Figueroa, MD

Speaker Rachel Frank, MD

Speaker Yee-Han Dave Lee, MBBS, FRCS(Ortho)

Speaker R. Kyle Martin, MD

Speaker Volker Musahl, MD

Speaker Seth Sherman, MD

Keywords

David Parker, MBBS, BMedSc, FRACS, FAOrthA

Alan Getgood, MD, FRCS

Elizabeth Arendt, MD

David Figueroa, MD

Rachel Frank, MD

Yee-Han Dave Lee, MBBS, FRCS(Ortho)

R. Kyle Martin, MD

Volker Musahl, MD

Seth Sherman, MD

knee injuries

operative techniques

David Parker

ISACOS

surgical planning

patellar instability

PCL avulsion

ACL/PCL reconstruction

femoral osteotomy

non-surgical management

Osteochondral Lesion

Osteotomy

Patellofemoral Instability

Posterior Cruciate Ligament Injury

Surgical Intervention