2023 Annual Meeting Biologics-European Perspective_ Anatomic Repair is Enough_ My Tips for Success and Other Emerging Technologies

European Perspective_ Anatomic Repair is Enough_ My Tips for Success and Other Emerging Technologies

Video Transcription

Video Summary

Roman Sayle, former ESCA president, discusses the evolution of meniscal repair, emphasizing anatomical repair over biologics. He highlights a paradigm shift in Europe favoring meniscal repair as the first-line treatment for meniscus injuries, reducing meniscectomies. Advances in surgical techniques, including improved suture devices and classifications for complex lesions like meniscal ramps and root tears, have increased repair success rates. Sayle points out that meniscal damage, especially in ACL-injured knees, is often underdiagnosed but critical, as it predicts reconstruction failure and instability. He introduces the ACL Injury Severity Scale to better classify injury extent and advocates enhancing surgical education via advanced training modules. While biologics currently lack strong supporting evidence, mixed approaches may hold future promise. Overall, Sayle stresses restoring meniscal anatomy, improving surgical skills, and advancing clinical research as priorities to improve outcomes in meniscal injury treatment.

Asset Caption

Romain Seil, M.D., Luxembourg

Keywords

meniscal repair

anatomical repair

meniscectomy reduction

ACL Injury Severity Scale

surgical education