Scientific Program

OCA Graft Procurement & Processing – JRF Ortho

• Describe the process of donor procurement
• Graft sizing and matching
• Live video of the processing steps

Natural History – Aaron Krych

• Focal chondral defects
• The meniscectomized knee (medial / lateral / root / bucket excision)

Non-Operative Biologics for the Knee: Techniques, Indications & Outcomes – Don Buford – IOF Collaboration

• Non-operative use for early knee osteoarthritis

Surgical Augmentation with Knee Biologics: Cartilage & Meniscus Repair – Seth Sherman

• Intra- and post-operative use around cartilage transplantation or osteotomy

Optimize the Environment – Christian Lattermann

• What should a clinician know about PTOA
• DMOAD: fact or fiction?
• Serum and synovial biomarkers

OCD: Young & Old – Managing It at Any Stage – Brian Cole

• Natural history if left alone
• Surgical and non-surgical management

The Subchondral Bone: Where Are We Today? – Brian Cole

• Evidence that it’s a pain generator
• Relevance to surface-based or reconstructive cartilage transplantation
• Treatment options

Modern Osteotomy: PSI & Advances in Technology – Adam Yanke

• Perioperative planning
• Overview of available systems
• 3D printing
• Unmet need: TTO planning

The Biomechanical Role of the Meniscus – Seth Sherman

• Radials / roots – medial/lateral effect on contact pressures and stability
• Evidence of restoration of natural state in vivo or in vitro

The Treatment Algorithm: A View From the Top – Simon Goertz

• Review of the most commonly available cartilage treatments with their strengths & weaknesses

Are We Ready for Metal in the Young Patient? – Bill Bugbee

• Actual survivorship of TKA / UKA / PFA in a 30-40 year old
• Do prior preservation surgeries hinder outcome?
• Detailed outcomes: does a revision-free patient equal a happy patient?

Discussion / Q&A

Case 1: Patellofemoral Pain with Chondromalacia & No Bone Loss – Adam Yanke

• Non-operative management
• Debridement
• Planning for the future
• Soft tissue management
• Osteotomy? Cartilage?

Case 2: PF Chondral Damage in the 1st-Time Dislocator with Fragment – Camila Cohen Kaleka

• Fixable / non-fixable, large fragments

Case 3: Uni-polar Trochlear Defect (no PFI) – Christian Lattermann

• MACI vs OCA
• Relative benefit of TTO

Case 4: Bipolar PF Cartilage Loss in the 30-Year-Old – Seth Sherman

• Bipolar OCA/MACI vs PFA
• Isolated osteotomy / facetectomy / ablation

Case 1: 2.5 cm² MFC Cartilage Defect in a 20-Year-Old – William Bugbee

• Injections, bracing, therapy
• Scope / debridement
• MFx / OCA / OATs / MACI / Cartiheal

Case 2: MFC OCD Lesion – Role for Removal in 2026? – Aaron Krych

• Review case / intra-operative evaluation of stability
• Treatment methods (drilling, screws, etc.)

Case 3: MFC Lesion with 4.5° of Varus – Christian Lattermann

• Review outcomes of cartilage with and without osteotomy
• Review outcomes of osteotomy with and without cartilage

Case 4: Medial Knee Pain with Chondral Heterogeneity & Bone Marrow Signal – Brian Cole

• Dx process to determine pain source
• Non-operative options
• Surgical treatment

Case 5: Management of the Lateral Tibial Plateau – Christian Lattermann

• Role for osteotomy
• Keys for access
• Technology that can be utilized

Case 6: KL 3 Changes in the Active 40-Year-Old – William Bugbee

• HTO
• UKA
• MISHA

Case 1: Post-Meniscectomy Knee with Pain – Simon Goertz

• Review case with acute medial meniscectomy versus acute lateral meniscectomy approach for future treatment
• When to pull the trigger on transplant
• Associated procedures

Case 2: ACL Patient with Acute Bucket Medial Meniscus (irreparable) – Aaron Krych

• Review role for acute MAT
• Additional stabilization planned if meniscus is irreparable? (different if medial or lateral)
• Is an irreparable root here different than an irreparable bucket?

Case 3: MAT in the Revision ACL – Brian Cole

• When to add MAT to revision ACL
• History that changes necessity of MAT

Case 1: MPFL / PF Cartilage / TTO – Seth Sherman

• Review indications for additional procedures
• TTO role in cartilage vs instability in PF joint
• Order of operations

Case 2: ACL / Osteotomy / Cartilage Transplant – Adam Yanke

• Indications for osteotomy
• Planning and order of events
• Role of staging

Case 3: Salvage PF OA – Shell Graft – Simon Goertz

• Salvage situations
• Large and multiple OA grafts vs shell vs PFA

Faculty Complication Cases

• Each faculty member presents a templated case: a complication, how it was treated, and the specific outcome