2023 Annual Meeting Knee Access Pass-Meniscus Root Tear: The Case for Transosseous Repair and Centralization

Meniscus Root Tear: The Case for Transosseous Repair and Centralization

Video Transcription

Video Summary

Dr. Aaron Kritsch discussed meniscus root tears, emphasizing the importance of transosseous repair combined with centralization. Untreated root tears lead to rapid cartilage degeneration and high failure rates with non-operative treatment. Partial meniscectomy is ineffective due to bone overload risks. While root repair shows good healing rates, meniscal extrusion remains problematic and predicts poor outcomes. Extrusion results from meniscal tibial ligament abnormalities, reducing chondroprotection. Centralization aims to reposition the meniscus, addressing extrusion alongside root repair. Clinical studies show this combined approach improves pain and function, suggesting that successful treatment requires both root repair and centralization to restore meniscal biomechanics.

Asset Caption

Aaron J. Krych, M.D.

Keywords

meniscus root tears

transosseous repair

meniscal extrusion

centralization technique

meniscal biomechanics restoration