Description
In this presentation, Anand Pillai addresses the challenges faced by a young athlete who has undergone a failed micro fracture procedure, emphasizing the importance of understanding the factors surrounding lesions in sports medicine. He discusses the significance of lesion size and location, highlighting that larger lesions tend to lead to poorer outcomes after micro fracture treatments. Pillai suggests that lesions over 1.5 cm might not be suitable for this procedure and notes the differences in recommendations from various studies.
The discussion shifts to the OATS (Osteochondral Autograft Transfer System) technique, which utilizes intact cartilage cells for repairs, making it a viable option for osteochondral lesions that affect both cartilage and bone. He cites evidence showing that OATS offers better outcomes than micro fracture surgeries, particularly in patients wanting to return to athletic activities. Pillai presents data supporting OATS, including its effectiveness on ankle injuries and its success as a revision surgery for failed micro fractures.
With compelling statistics and various studies backing the OATS technique, including low donor site morbidity and high rates of healing and sports participation post-surgery, Pillai concludes that OATS remains the optimal choice for revision surgeries, particularly after a failed micro fracture. He expresses a clear preference for OATS over other techniques lacking substantial long-term efficacy data, urging the audience to consider OATS for lasting results in knee surgeries.