AANA19 Knee Access Pass-Lucha Libre Meniscal Transplant - No Bone Blocks-Dr. Brian J. Sennett, M.D.

Lucha Libre Meniscal Transplant - No Bone Blocks-Dr. Brian J. Sennett, M.D.

Video Transcription

Video Summary

Dr. Kelly discusses meniscus transplantation for patients with near-total meniscectomy and pain, emphasizing restoring normal meniscal anatomy and secure horn attachments. The International Meniscus Reconstruction Experts Forum (IMREF) found no clinical superiority between bone block and soft tissue (suture-only) techniques. The simpler suture-only approach is easier and yields similar outcomes. Meniscus extrusion occurs with both methods but doesn't affect function significantly. Histology shows fewer allogenic responses with suture-only grafts due to less bone material. Ultimately, success depends on accurate horn fixation and peripheral repair rather than the graft type, prioritizing anatomical restoration and graft viability.

Keywords

meniscus transplantation

meniscectomy pain

bone block vs suture-only

meniscus extrusion

horn fixation