AANA19 Knee Access Pass-Crazy! Need Bone!-Dr. Thomas R. Carter, M.D.

Crazy! Need Bone!-Dr. Thomas R. Carter, M.D.

Video Transcription

Video Summary

The speaker discusses meniscus anatomy and repair techniques, emphasizing the advantages of bone plug fixation over soft tissue methods. Bone plugs offer broader attachment, better healing, and less meniscal extrusion, which is linked to reduced arthritis long-term. Though soft tissue fixation may seem easier or less invasive, studies and meta-analyses show bone plugs provide superior load distribution and outcomes. Proper surgical technique includes seeing the meniscus fully and gentle graft insertion. Rehabilitation differs, with bone plug patients resuming weight-bearing earlier. The speaker urges following basic science evidence favoring bone plugs to improve meniscal transplant success and prevent arthritis.

Keywords

meniscus anatomy

bone plug fixation

meniscal repair techniques

meniscal extrusion prevention

meniscal transplant rehabilitation