Knee injury is common, especially in sports, as we discussed. You see many cruciate ligament injuries, meniscus tears, patella trauma, osteochondral fractures, and various knee cartilage injuries. What mistakes do patients make when they seek treatment for knee ligament or cartilage injury or osteochondral fractures? What are the recurring mistakes that you see in patients who were previously treated for their knee injuries? So there are different mistakes. One is always expectation and compliance of patient in general. So I think all patients have to be informed about realistic time windows, what time they have to spend to restore the damaged area. The second point, I see a lot of second-line approaches. So I see many people who are treated before I see them. And there’s another total concept of all the damage area, what they get. So they have, for example, the torn ligament and partial meniscus damage. In that case, many people start with ligament reconstruction. It was done well or not so good, anyhow. Many cases are done with resection of the meniscus. I would say meniscus is one of the problems. You have to suture the meniscus whenever possible because it is an essential factor for stabilization and protecting the cartilage. What is missed is a total concept to address all the damage in the knee in an accurate way. And that needs, I would say, a high-quality surgeon familiar with all the different techniques. A surgeon has to know all types of meniscus sutures and all kinds of ligament reconstruction. So you need an individual treatment concept. And the patient has to be addressed with that individual concept to handle all the dimensions accurately, as best as possible. And since this is the main point to create a good clinical outcome for patients, How common are situations when somebody was treated once, the second time, third time, and then they show up at your clinic, or they find you? How common are the multiple repeat injuries of the knee that you see? What is the best way to approach those knee injuries from a conceptual standpoint? So the best approach is to ensure that the first step is done correctly. So the first arthroscopy and treatment have to be done in the best way. The first treatment has to address all the bad aspects of the damage to the knee. We know that the clinical outcome becomes worse and worse with several revisions, interventions. So because the knee moves more to a chronic knee injury after three or four interventions. The best way would be that the first treatment step is the right step, and patients don’t need the second or third treatment revision.
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