AOSSM 2023 Annual Meeting Recordings no CME-Case presentation

Video Transcription

Video Summary

The video discusses the use of osteochondral allografts in the treatment of patellar disease. The speaker recommends an osteochondral allograft with an anteriorization osteotomy for this particular patient. They emphasize the importance of maintaining the viability and biologic activity of the graft for successful integration. The video also mentions the effect of reaming on graft viability and suggests minimizing thermal necrosis. Removing immunogenic components and using high-pressure CO2 and pulse irrigation can help improve graft preparation. The speaker mentions the potential benefits of using bone marrow aspirate concentrate as a biologic, although the data is conflicting. Postoperative management of the cytokine profile and MMP levels in patients undergoing graft transplant is also discussed, and the speaker suggests that postoperative injections and aggressive aspiration may improve outcomes. No specific credits were mentioned in the video.

Asset Caption

Adam Yanke, MD, PhD

Keywords

osteochondral allografts

patellar disease

anteriorization osteotomy

graft viability

biologic activity