Sports Knee Injuries: State of the Art - Discussion/Cases

Description

The transcript captures a lively discussion among medical professionals regarding current practices and concerns in orthopedic surgery, particularly focusing on grafts, cell-based therapies, and meniscus repair. Iain Murray introduces the session, inviting audience questions. An audience member inquires about the impact of soaking hamstring grafts in vancomycin during harvest and seeks insights into cell-based therapies for osteoarthritis (OA). William Pullen discusses evidence supporting vancomycin's effectiveness in reducing infection risk. Murray adds that soaking allografts has become standard practice in his experience. The conversation shifts to the lack of randomized controlled trials (RCTs) on medial meniscus root tears, with professionals debating conservative versus operative approaches for older patient demographics. They also explore the complexities of osteoarthritis treatment, highlighting that while procedures like microfracture have been common, their efficacy is questioned in light of alternative therapies. Ultimately, the experts reflect on the need for better patient selection and management strategies for cartilage repair, indicating a collective shift toward more conservative and evidence-based practices in the field.

DOI: 10.1302/3114-230467

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