AANA19 Knee Access Pass-Blarney! Inside out Clear Winner-Dr. Cory Edgar, M.D., PhD.

Blarney! Inside out Clear Winner-Dr. Cory Edgar, M.D., PhD.

Video Transcription

Video Summary

The talk focuses on repairing traumatic, reparable meniscus tears, particularly displaced bucket handle tears, using inside-out suturing techniques. While newer all-inside fixation devices offer improvements, challenges like risk to neurovascular structures, hardware irritation, and high costs persist. The speaker emphasizes the importance of understanding tear patterns, biology, and repair zones rather than relying solely on suture technique. Outside-in sutures remain biomechanically superior, especially for middle and anterior zones. Incision-based approaches, though slightly more time-consuming, enhance safety and repair quality. Ultimately, repair choice depends on tear specifics, with cost and device limitations influencing decisions.

Keywords

meniscus repair

bucket handle tears

inside-out suturing

outside-in sutures

repair techniques