Management of the Athlete’s Knee Event Recording-The “Mature” Athlete: Joint Preservation- 3. Carpentry Sill Works! When and How to Incorporate Osteotomey for Treatment of Meniscus-Chondral Pathology

The “Mature” Athlete: Joint Preservation- 3. Carpentry Sill Works! When and How to Incorporate Osteotomey for Treatment of Meniscus-Chondral Pathology

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Video Transcription

Video Summary

The video discusses the importance of incorporating osteotomy in the treatment of meniscus and chondral pathology in the knee. It explains that articular cartilage lesions are common and difficult to heal due to limited intrinsic ability and dense extracellular matrix. Traumatic knee injuries increase the risk of osteoarthritis, making prevention strategies crucial. Factors such as patient age, gender, activity level, BMI, expectations, lesion characteristics, and mechanical environment should be considered when deciding treatment options. The video emphasizes the significance of addressing malalignment in joint preservation procedures, as failure rates are higher without osteotomy. It also discusses the different types of osteotomy and their potential complications. Overall, survivorship is improved with unloading osteotomy, but long-term evidence is lacking.

Asset Caption

Cassandra A. Lee, MD

Keywords

osteotomy

meniscus

chondral pathology

osteoarthritis prevention

malalignment