2023 Annual Meeting Knee Access Pass-Case Discussion

Video Transcription

Video Summary

The video features a detailed panel discussion on complex knee cases moderated by Drs. Skaglione and Critch. They review clinical scenarios including discoid lateral meniscus tears in young patients, emphasizing repair and saucerization techniques, with cautious optimism about long-term outcomes. A second case involves a 19-year-old lacrosse player with a LAMORT (lateral meniscus oblique radial tear) alongside an ACL injury; experts advocate for repair using all-inside suture techniques and stress slow, function-based rehabilitation over strict timelines. The panel also discusses management of root tears in middle-aged patients with varying alignment and BMI, highlighting when repair is viable versus arthroplasty or osteotomy options. Techniques such as centralization and menisciotibial ligament tenodesis are debated. Lastly, a case of a ramp lesion in a young rugby player illustrates different arthroscopic approaches for repair. The session underscores personalized treatment decisions, balancing surgical techniques, patient factors, and rehabilitation protocols in knee preservation.

Asset Caption

Moderators: Nicholas A. Sgaglione, M.D., Aaron A. Krych, M.D.
Panelists: Carlo Gustavo PortilloRinas, M.D., Romain Seil, M.D., Thomas R. Carter, M.D., Armando F. Vidal, M.D., Rodrigo Maestu, M.D.

Keywords

knee surgery

meniscus repair

discoid lateral meniscus

LAMORT tear

arthroscopic techniques

rehabilitation protocols