AOSSM Youth to the NFL Sports Medicine Course no CME-How Durable is Cartilage Restoration?

Video Transcription

Video Summary

The video discusses the effectiveness of various surgical treatments for cartilage defects in high-level athletes. It mentions that the most common surgery, contraplasty, has shown significant improvement in patient reported outcomes and return to play, but it often leads to arthritis later on. Microfracture has been used for a long time but has limited success, and OATS procedures have a higher success rate but also a higher failure rate and need for revision surgeries. Allograft transplantation has shown good results with high satisfaction rates but also a considerable revision surgery rate. Cell-based technologies have not shown as good results as structural allograft transplantations. Osteotomies, such as offloading and proximal tibial osteotomies, have mixed success rates, with some athletes returning to sport but not necessarily at their pre-injury level. Slope-altering osteotomy may be necessary in cases of ACL graft failure. The video also mentions the increasing use of osteotomies for hip instability and borderline dysplasia, which have shown higher return to sport rates when combined with arthroscopy.

Asset Caption

Presented by Michael J. Salata MD

Keywords

surgical treatments

cartilage defects

contraplasty

microfracture

OATS procedures