2023 Annual Meeting Knee Access Pass-Horizontal Meniscal Tears: Preserve Where Possible

Horizontal Meniscal Tears: Preserve Where Possible

Video Transcription

Video Summary

Dr. Carlos Portillo discussed horizontal meniscal tears, common in elderly patients and often degenerative. While meniscectomy has been standard, recent trials question its efficacy over conservative care. Horizontal cleavage tears divide the meniscus into upper and lower parts and are frequently not repaired due to technical challenges, healing concerns, and patient age. However, meniscal repair shows advantages, especially in traumatic cases. Proper patient selection, considering factors like age, osteoarthritis, symptoms, and imaging, is critical. Future care requires better diagnosis and understanding of degenerative meniscus pathology to decide between repair or debridement, balancing surgical and conservative treatments.

Asset Caption

Carlos Gustavo Portillo-Rinas, M.D.

Keywords

horizontal meniscal tears

meniscectomy efficacy

meniscal repair advantages

patient selection criteria

degenerative meniscus pathology