2023 Annual Meeting Knee Access Pass-MCL Pie-Crusting During Isolated Medial Meniscal Root Repair Leads to Improved Outcomes

MCL Pie-Crusting During Isolated Medial Meniscal Root Repair Leads to Improved Outcomes

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Video Summary

Dr. Costas Economopoulos presented research on the use of medial collateral ligament (MCL) pie-crusting during isolated medial meniscus root repair. This technique, which involves controlled MCL lengthening, improves visualization and access in tight medial knee compartments, facilitating better meniscal repair. In a retrospective study comparing 97 patients with and without pie-crusting, those undergoing pie-crusting had significantly better early and two-year clinical outcomes measured by IKDC scores, lower recurrent tear rates, and comparable arthritic progression and knee replacement rates. Initial MCL laxity resolved by six months. The study concludes that pie-crusting is a safe and potentially beneficial adjunct in meniscal root repair, though long-term results are needed.

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Kostas J. Economopoulos, M.D.

Keywords

medial collateral ligament

pie-crusting

medial meniscus root repair

clinical outcomes

knee surgery