Innovative Techniques for Complex Meniscal Repair, Substitution, and Meniscal Allograft Transplantation (AANA19)-Complex Meniscustears_ Roots And Radials-Dr. Adam Yanke, M.D., PhD.

Video Transcription

Video Summary

The video discusses various meniscal tears—medial and lateral root tears, radial tears, and horizontal cleavage tears—and their repair significance. Medial root tears typically occur in older patients with posterior knee pain and popping episodes, often leading to rapid joint deterioration equivalent to total meniscectomy, emphasizing early diagnosis and repair. Repair techniques include deep MCL release, careful suture configuration (favoring locking or horizontal mattress stitches), and anchoring, with prolonged non-weight-bearing rehabilitation essential for healing. Lateral root tears are common with ACL injuries and influenced by alignment and BMI; classifications help guide repair decisions. Radial tears over 75% are functionally critical and require complex repair, while horizontal cleavage tears remain less understood with limited evidence for repair. Outcomes suggest repairs can slow arthritis progression and improve stability but do not fully restore normal function. Non-operative management is often trialed first, but many patients continue to experience pain. Overall, careful assessment, timely intervention, patient education, and tailored rehab are critical for managing these complex meniscal injuries.

Asset Caption

Instructional Course Lecture: Innovative Techniques for Complex Meniscal Repair, Substitution, and Meniscal Allograft Transplantation

Keywords

meniscal tears

medial root tear

lateral root tear

radial tear

horizontal cleavage tear

meniscal repair