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Meniscus Preservation Strategies: Restoration to T ...
Meniscus Preservation Strategies_ Root and Radial ...
Meniscus Preservation Strategies_ Root and Radial Tears
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Video Transcription
Video Summary
The speaker discusses root and radial meniscal tears, emphasizing their severity and poor prognosis if untreated, often equivalent to total meniscectomy. Root tears cause instability and increased joint pressure but can be effectively repaired using trans-tibial pullout techniques, improving outcomes and slowing cartilage degradation. Proper surgical access, anatomy understanding, and fixation methods like locking sutures and soft anchors are crucial. Nonoperative management leads to poor outcomes. Radial tears also increase joint stress and instability; repairs using locking stitch configurations and centralization techniques show about 66% healing and significant symptom improvement. Weight-bearing protection post-surgery is critical for success.
Asset Caption
Michael Zacchilli, M.D.
Keywords
root meniscal tears
radial meniscal tears
trans-tibial pullout repair
locking sutures
postoperative weight-bearing protection
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