2021 Annual Meeting Knee Access Pass-When to Fix and When to Punt: Medial Meniscus Root

When to Fix and When to Punt: Medial Meniscus Root

Video Transcription

Video Summary

The lecture discusses meniscus root injuries, emphasizing the importance of timely surgical repair, especially within three months of acute injury and when cartilage is relatively intact. Non-operative management and partial meniscectomy often lead to progressive arthritis. Factors like meniscus extrusion, varus alignment, and obesity influence repair success. Cases illustrate decision-making, showing when to repair, use alignment correction, or opt against surgery. For severe extrusion, centralization techniques are useful. Contraindications to repair include subchondral collapse, diffuse joint damage, and poor patient motivation. Patellofemoral arthritis is generally ignored if medial root symptoms predominate. Surgical technique details follow.

Asset Caption

Dr. Aaron Krych

Keywords

meniscus root injuries

surgical repair timing

non-operative management

meniscus extrusion

alignment correction