APEX Knee Navigating Pearls and Pitfalls-Root Tears: Current Treatment Concepts in 2021

Root Tears: Current Treatment Concepts in 2021

Video Transcription

Video Summary

Adam Yenke from Rush University discusses medial meniscal root tears, highlighting a 55-year-old patient case. These tears often occur in older individuals, commonly during stair descent, causing knee pain and structural failure resembling meniscectomy effects. MRI early detection is critical to prevent arthritis and avoid knee replacement. Non-operative treatment has high failure rates; meniscal root repair improves outcomes, reducing arthritis progression and knee replacement conversion. Repair requires precise technique, including suture configuration and MCL release, and post-op care involves bracing and limited weight bearing. Advanced arthritis predicts repair failure; alignment issues may require additional intervention. Debridement offers no benefit.

Asset Caption

Adam B. Yanke, M.D., Ph.D.

Keywords

medial meniscal root tears

knee pain

MRI detection

meniscal root repair

arthritis prevention