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AANA/SOMOS Course Materials (August 2021)
Lateral Meniscal Transplant Demo
Lateral Meniscal Transplant Demo
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Video Transcription
Video Summary
Dr. Patrick Joyner demonstrates a lateral meniscal transplant technique during a cadaver lab session, highlighting key surgical steps and tips. He emphasizes using a trans-patellar tendon portal for improved access and safety, describing anatomical landmarks for an inside-out lateral meniscus repair. He carefully outlines the creation of a bone slot using a drill and chisel, noting the importance of precise sizing of the bone plug for optimal fit and stability. Dr. Joyner prefers an 8mm plug and discusses methods to secure the graft, including inside-out sutures and knotless anchors as interference screws for additional fixation. He shares insights from fellow surgeons and literature comparing bone plug and soft tissue fixation, favoring bone plugs but recognizing soft tissue techniques' efficacy. The procedure is performed with a focus on anatomical safety, efficient suture management, and thorough graft preparation, aiming to restore meniscal function and protect the knee joint. This hands-on teaching session underscores practical strategies for successful meniscal transplantation.
Keywords
lateral meniscal transplant
trans-patellar tendon portal
inside-out lateral meniscus repair
bone slot creation
bone plug fixation
knotless anchors
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