2023 Specialty Day Access Pass-SaveTheMeniscus: Options for “Irreparable” Meniscus Tears

Video Transcription

Video Summary

This expert panel discusses challenging meniscal tear cases, focusing on diagnosis, repair techniques, and rehabilitation. The first case involves a 39-year-old woman with a lateral meniscus horizontal cleavage tear near the popliteal hiatus. Panelists emphasize the degenerative nature, favor biologic augmentations like fibrin clots or PRP, use inside-out or all-inside repairs, and recommend bracing. Despite a good initial repair, symptoms recurred, highlighting repair complexity. The second case features a 16-year-old athlete with a complex lateral radial tear. Experts advocate early surgery using hashtag or tie-grip repair techniques, stressing anatomic reduction, slow rehab with non-weight-bearing for six weeks, and possible marrow venting. The third case, a 17-year-old soccer player with a large lateral flap tear, prompts discussion of inside-out versus hybrid all-inside repairs and the importance of patient education on extended non-weight-bearing rehab. Overall, the panel underscores meniscus preservation, individualized repair strategies, biologic augmentation, and cautious, tailored rehabilitation to optimize outcomes.

Asset Caption

Moderator: Clayton W. Nuelle, M.D., FAANA
Panel: Aaron J. Krych, M.D., Mary K. Mulcahey, M.D., FAANA, David C. Flanigan, M.D., Seth L. Sherman, M.D., Austin Stone, M.D., Ph.D.

Keywords

meniscal tear

repair techniques

biologic augmentation

rehabilitation

meniscus preservation