Meniscus Preservation Strategies: Restoration to Transplantation (2023 Annual Meeting)-Meniscus Preservation Strategies

Meniscus Preservation Strategies_ Root and Radial Tears

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