2023 Annual Meeting Knee Access Pass-Case Panel

Video Transcription

Video Summary

Drs. Katherine Logan and Austin Stone moderated a panel discussing complex knee cases, focusing on meniscus root tears and lateral meniscus injuries. For a 55-year-old female runner with a medial meniscus root tear and mild cartilage damage, panelists favored medial root repair with non-weight bearing and bracing, possibly adding high tibial osteotomy (HTO) if bone edema is present. The new MISHA implant shows promise for patients with unicompartmental osteoarthritis and root tears. Managing bone marrow edema post-repair remains challenging, with options like biologic injections or partial knee replacement discussed. For a younger active patient with failed lateral meniscal repair and moderate arthritis, meniscal transplantation combined with unloading procedures was recommended, though prognosis for high-impact activities like backcountry skiing remains guarded. Panelists emphasized close monitoring, patient education about risks of meniscectomy, and individualized follow-ups including imaging to guide timely interventions and maintain patient relationships. The discussion highlighted evolving surgical strategies and emerging treatments for meniscal injuries and associated cartilage damage.

Asset Caption

Moderators: Austin Stone, M.D., Ph.D., Catherine A. Logan, M.D., M.B.A., M.S.P.T.
Panelists: Laith M. Jazrawi, M.D., Anell Olivos-Meza, M.D., Albert O. Gee, M.D., FAANA, Fernando Hernandez-Perez, M.D., Jason L. Dragoo, M.D., FAANA, Kevin D. Plancher, M.D., M.P.H., FAANA, Sabrina M. Strickland, M.D., Claude T. Moorman III, M.D

Keywords

meniscus root tear

medial root repair

high tibial osteotomy

MISHA implant

meniscal transplantation