Short clinical exchange about managing patients with varus (bow-legged) deformity due to arthritis when considering regenerative therapies. Speaker B advises clinicians to set expectations: regenerative treatments often provide partial symptom relief but are less durable and may not slow deformity progression in patients with significant varus. Unloader bracing is an option but commonly has poor adherence and lifestyle impact.
Chapters
How do you manage the person that is bow legged because of arthritis when they want regenerative therapy.
One, you have to tell them, hey, you have this deformity. We're going to do our very best to preserve your joint as best we can. But at the end of the day, if you have a severe deformity, regenerative therapies may not be as effective as you want. They almost always get some percentage of relief. But the problem is the research suggests that when we have a significant deformity, it doesn't last as long and that that deformity can progress. You know, it doesn't do much to slow down the deformity. You could put them in a brace, like an unloader brace. The problem is patients don't really love to wear that brace and they're kind of coming to you because they want an option that's not going to really impact their lifestyle super like a whole lot. But a big brace is oftentimes impacts their lifestyle, so that's, that's not often what they're looking for.