AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Current Treatment Concepts for Root Tears

Current Treatment Concepts for Root Tears

Video Transcription

Video Summary

Nick Scaglione provides an update on meniscus root tear treatment, emphasizing variable presentations between younger traumatic and older degenerative cases. Diagnosis relies on MRI and mechanical axis films, noting extrusion and joint changes as poor prognosticators. Repair is favored when tissue is viable, symptoms correlate, and degenerative changes are limited (KL ≤ 2). Trans-tibial pullout technique with suture tape and a luggage-tag suture construct is recommended for fixation. MCL release and reverse notchplasty aid access. Post-op protocols involve limited weight-bearing for six weeks. Outcomes show improved joint mechanics, with survivorship influenced by BMI, malalignment, extrusion, and osteoarthritis severity.

Keywords

meniscus root tear

MRI diagnosis

trans-tibial pullout technique

post-operative weight-bearing

joint extrusion prognosis