2023 Annual Meeting Knee Access Pass-Opinion: The Degenerative Meniscus in a Varus Knee: Scope It, Then (If Needed) Replace It!

Opinion: The Degenerative Meniscus in a Varus Knee: Scope It, Then (If Needed) Replace It!

Video Transcription

Video Summary

Dr. Albert Gee discusses treatment options for a 45-year-old active patient with a degenerative medial meniscus root tear, varus knee, and subchondral edema, indicating mild osteoarthritis. He advocates arthroscopic partial meniscectomy over open osteotomy alignment correction for irreparable tears after failed nonoperative management. Evidence suggests partial meniscectomy can improve pain and function, especially with mechanical symptoms, despite debates from randomized studies comparing it to physical therapy or sham surgery. The procedure is less invasive, with faster recovery and fewer complications than osteotomy. Judicious use, clinical judgment, and shared decision-making are essential for optimal patient outcomes.

Asset Caption

Albert O. Gee, M.D., FAANA

Keywords

degenerative medial meniscus root tear

arthroscopic partial meniscectomy

varus knee

subchondral edema

mild osteoarthritis