APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing Meniscus Repairs

Video Transcription

Video Summary

Kevin Bonner from Virginia Beach presents a comprehensive overview of optimizing meniscus repair techniques, covering all-inside, inside-out, outside-in repairs, as well as root and ramp repairs. He emphasizes surgeon preference and tear location in technique choice. All-inside repairs are favored for smaller tears, though care is needed to avoid neurovascular injury and over-tensioning sutures due to iatrogenic damage risks. Inside-out repairs, utilizing smaller needles, allow more fixation points and are preferred in complex or large bucket-handle tears for better healing chances. Outside-in techniques are mainly suited for anterior third tears. Root repairs, especially for medial and lateral meniscus roots, involve trans-tibial tunnels and knotless fixation to restore anatomy and function. Ramp lesions, common with ACL tears, require careful posterior medial inspection and can be fixed with posteromedial portal techniques or all-inside devices. Overall, mastering a versatile repair armamentarium is essential for successful meniscal preservation.

Asset Caption

Faculty: Kevin F. Bonner, M.D., FAANA

Keywords

meniscus repair techniques

all-inside repair

inside-out repair

outside-in repair

meniscus root repair

ramp lesion repair