2024 AANA/ISAKOS Specialty Day All-Access Pass-46-Year-Old Female With Five Degree Varus Alignment and Medial Meniscus Root Tear Plus Medial G-2 Chondral Changes Not Responding to Nonoperative Treatment Discussion & Voting

46-Year-Old Female With Five Degree Varus Alignment and Medial Meniscus Root Tear Plus Medial G-2 Chondral Changes Not Responding to Nonoperative Treatment Discussion & Voting

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Video Summary

The discussion centered on managing acute meniscal root tears in patients without arthritis or malalignment. Experts emphasized that surgical root repair is preferred over non-operative treatment to restore meniscal function and improve healing. They debated techniques, favoring multiple sutures or tunnels with knotless anchors. Postoperative rehab involves strict non-weight bearing for about eight weeks to protect the repair, though this is challenging for patients. In cases with varus alignment, addressing both the root tear and limb alignment via osteotomy is beneficial. Overall, surgical repair combined with tailored rehab offers better long-term outcomes than conservative management in young, active individuals.

Keywords

acute meniscal root tears

surgical root repair

knotless anchors

postoperative rehabilitation

varus alignment osteotomy