2023 Annual Meeting Knee Access Pass-Arthroscopic All-Inside Meniscal Root Repair: A Biomechanical Analysis and Prospective Cohort Study

Arthroscopic All-Inside Meniscal Root Repair: A Biomechanical Analysis and Prospective Cohort Study

Video Transcription

Video Summary

Dr. Dragut presented an all-inside medial meniscal root repair technique addressing root tears that cause meniscal detachment and disability, especially in older patients with osteoarthritis. The method uses multiple sutures for secure fixation and aims to restore meniscal tension and reduce extrusion. A study with 4.4 years follow-up showed significant symptom relief, increased activity, and a drastic 93% reduction in total knee replacements compared to non-operative treatment. Biomechanical testing revealed comparable strength to traditional methods, and MRI showed stable or slightly reduced meniscal extrusion. This technique proves valuable in moderate osteoarthritis cases but requires further research on extrusion outcomes.

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Jason L. Dragoo, M.D., FAANA

Keywords

medial meniscal root repair

meniscal root tears

all-inside repair technique

osteoarthritis knee treatment

meniscal extrusion reduction