2022 AOSSM Annual Meeting Recordings with CME-Technical Considerations in Root Repair (Video)

Video Transcription

Video Summary

In this video, the speaker discusses meniscus root tears and their treatment options. He explains that these tears have been recognized and diagnosed since 2008, with advancements in technique innovation. The speaker emphasizes the importance of early diagnosis and repair for better outcomes, specifically within the first three months. He recommends preoperative diagnosis for medial tears and discusses the challenges of visualizing lateral tears. The speaker explains the surgical techniques involved in repairing the tears, including MCL lengthening and tibial spine resection. He highlights the importance of restoring anatomy and provides tips on using specific root guides. The speaker also discusses suturing techniques, such as cinch stitches and ripstop sutures. Clinical results show improvements in symptoms and healing rates, although extrusion of the meniscus can occur postoperatively. The speaker introduces arthroscopic centralization as a technique to address extrusion and centralize the meniscus. He concludes by stating the importance of recognizing and treating root tears early and highlights the success of repair in suitable patients. The video does not provide credits.

Asset Caption

Aaron Krych, MD

Keywords

meniscus root tears

treatment options

early diagnosis

surgical techniques

suturing techniques