AANA Knee Arthroscopy - September 2024-Radial Tears: How I Repair Them

Video Transcription

Video Summary

Dr. Chala from Midwest Orthopedics discusses meniscal radial and root tears, emphasizing their increasing recognition and repair over meniscectomy despite meniscectomy's ease and quicker recovery. Radial/root tears cause loss of hoop stress, mimicking meniscectomy effects, leading to osteoarthritis and knee replacement risk. Repair techniques, especially trans-tibial tunnel sutures, offer better meniscus healing and reduced joint degeneration. Post-repair rehab involves limited weight-bearing and progressive strengthening, with return to sports around six months. Early repair is cost-effective, preventing knee replacements and joint space narrowing. MRI may miss tears; clinical suspicion and repair when cartilage is viable yield favorable outcomes.

Asset Caption

Dr. Jorge Chahla

Keywords

meniscal radial tears

root tears

meniscectomy

meniscus repair

osteoarthritis prevention