2024 AANA/ISAKOS Specialty Day All-Access Pass-Meniscus Debate Speaker #1: You Need to Add Centralization to Your Root Repair to Make It Work in This Patient

Meniscus Debate Speaker #1: You Need to Add Centralization to Your Root Repair to Make It Work in This Patient

Video Transcription

Video Summary

The video discusses improving medial meniscus root tear repair by adding arthroscopic meniscus centralization to reduce meniscus extrusion, which persists despite root repair and contributes to arthritis progression. The procedure involves mobilizing the meniscus, placing knotless suture anchors, and tensioning centralization stitches before completing the trans-tibial root repair. Biomechanical and clinical studies show this combined approach reduces extrusion, contact pressures, and improves pain, function, and quality of life without osteotomy. The speaker advocates for centralization with root repair as a less invasive, effective option, reserving osteotomy for cases where repair fails or arthritis progresses.

Asset Caption

Eric Jason Strauss, M.D.

Keywords

medial meniscus root tear

arthroscopic meniscus centralization

meniscus extrusion reduction

trans-tibial root repair

knotless suture anchors