2023 Specialty Day Access Pass-Biologics for Meniscus Repair

Video Transcription

Video Summary

Seth Sherman from Stanford discusses biologic augmentation for meniscus repair, addressing suboptimal healing rates despite rising repair procedures. He reviews strategies like rasping/trepanation to stimulate vascularity, fibrin clots as scaffolds, marrow venting to enhance healing especially in isolated repairs, and platelet-rich plasma (PRP), which shows mixed results and risks. Cell-based therapies appear promising but remain experimental without high-level evidence. Sherman recommends marrow venting for isolated tears, no augmentation with ACL reconstructions, and cautious PRP use in complex cases. Emphasizing the need for further research, he calls for collective outcome tracking to improve biologic interventions in meniscus repair.

Asset Caption

Seth L. Sherman, M.D.

Keywords

meniscus repair

biologic augmentation

marrow venting

platelet-rich plasma

cell-based therapies