AOSSM Specialty Day 2023 with ISAKOS - no CME-7. Case-Based Panel with the Experts: Challenges in the Patellofemoral Joint; Moderator: Elizabeth A. Arendt, MD and Moises Cohen, MD

7. Case-Based Panel with the Experts: Challenges in the Patellofemoral Joint; Moderator: Elizabeth A. Arendt, MD and Moises Cohen, MD

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Video Transcription

Video Summary

In this video, a group of orthopedic surgeons discusses different cases related to patellar dislocation and trochlear cartilage damage. They debate the best treatment options for each case, considering factors such as patient age, skeletal maturity, and activity level. The surgeons discuss non-operative management, isolated patellofemoral ligament reconstruction, and distalizing tibial tubercle osteotomy as potential treatments. They also discuss the importance of evaluating patella alta, J sign, hyperextension, and muscular atrophy in making treatment decisions. In the second case discussed, the surgeons consider chondroplasty and autologous chondrocyte implantation for a professional soccer player with trochlear cartilage damage. They also mention the possibility of a Macy type procedure. The surgeons share their opinions and experiences, emphasizing the need to tailor treatment to each individual case. The video concludes with a demonstration of the procedure performed on a patient, including the removal of cartilage fragments and repair with a collagen membrane.

Keywords

patellar dislocation

trochlear cartilage damage

treatment options

patient age

skeletal maturity