AANA19 Knee Access Pass-Donnybrook_ Root Repair Rocs-Dr. Aaron John Krych, M.D.

Donnybrook_ Root Repair Rocs-Dr. Aaron John Krych, M.D.

Video Transcription

Video Summary

Dr. Kevin discusses the growing recognition of meniscus root tears, emphasizing their biomechanical impact equivalent to total meniscus removal and link to arthritis progression. Medial root tears often occur in older, higher-BMI patients with mild arthritis; lateral tears appear in younger ACL-injured patients with little arthritis. Diagnosis, especially lateral tears, is challenging, necessitating dynamic probing. Non-operative or partial meniscectomy treatments yield high failure rates and arthritis progression. Repair, particularly via trans-tibial pull-through, shows superior outcomes, reducing arthritis and delaying knee replacement, especially in patients without severe cartilage damage or alignment issues. Long-term data supports repair's efficacy in appropriate candidates.

Keywords

meniscus root tears

biomechanical impact

arthritis progression

trans-tibial pull-through repair

knee replacement delay