AANA/SOMOS Course Materials (August 2021)-Lateral Meniscal Transplant Demo

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