2022 AOSSM Annual Meeting Recordings with CME-Modern Approach of Meniscal Repair

Video Transcription

Video Summary

In this video, Jacques Menetre from Geneva, Switzerland, welcomes the audience to a symposium organized by ESCA, the European Sports Medicine and Knee Surgery Society. He congratulates AUSSM for their 50th anniversary and discusses the European perspective on treating meniscal lesions. David Daujour then speaks about meniscal transplantation and the European allograft initiative. Thomas Tischer discusses the management of focal cartilage lesions, while Roland Becker discusses the role of osteotomy in cartilage repair. Menetre explains the importance of the meniscus as a load distributor, shock absorber, and stabilizer. He also discusses the prevalence and types of meniscal lesions, emphasizing the need for a systematic examination and appropriate classification. He specifically discusses ramp lesions, posterior root tears, and radial tears. Menetre highlights the benefits and techniques of repairing these lesions, including all-inside fixation and grafting. He concludes by emphasizing the importance of preserving meniscus tissue and using familiar techniques. Daujour then discusses the state of the art in meniscus replacement and the European allograft initiative's efforts to promote the use of allografts in Europe. He explains the indications, contraindications, and planning for successful meniscal allograft transplantation (MAT) . Daujour discusses various graft choices, surgical techniques, and potential complications. He presents evidence from studies showing the positive outcomes and long-term survival rates of MAT. However, he also acknowledges the lack of control groups in many studies, highlighting the need for more evidence. Daujour concludes by answering the questions posed in the 2018 allograft initiative and discussing the cost-effectiveness and indications for MAT.

Asset Caption

Jacques Menetrey, MD

Keywords

meniscal lesions

European allograft initiative

focal cartilage lesions

osteotomy

meniscus tissue preservation

meniscus replacement