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2024 AOSSM Annual Meeting Recordings no CME
Concurrent Session A Meniscal Tears- Getting to th ...
Concurrent Session A Meniscal Tears- Getting to the Root of the Problem
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Video Summary
The video transcript details a session focused on meniscus ramp lesions and various surgical techniques for their repair. The session is moderated by Matt Tao from University of Nebraska Medical Center, with Jocelyn Wittstein assisting. Adnan Saithna presents on behalf of the Santee Group, discussing the risk factors and failure rates of meniscus ramp lesions repaired during ACL reconstruction. Key points include the high misdiagnosis rate of ramp lesions due to their location, and the importance of a systematic transnotch visualization for accurate identification and repair. The study finds a 7.7% failure rate for ramp repairs, with isolated ACL reconstruction cases showing a higher failure rate.<br /><br />Subsequent presentations cover different aspects of meniscus tear repairs. Paul Allegra discusses the biomechanical analysis of medial root repairs subjected to early loading; their findings highlight that meniscus repairs displace under load, leading to the recommendation of non-weight-bearing post-operatively. Zachary Burnett presents outcomes of lateral meniscus oblique radial tear repairs, emphasizing the importance of repair for restoring knee stability. Aaron Critch from the Mayo Clinic presents midterm outcomes of meniscal allograft transplants, showing good clinical results if there is low cartilage degeneration. <br /><br />The session concludes with demonstrations and discussions on specific surgical techniques for meniscus repairs, including Roman Seil’s method for repairing meniscus ramp lesions using postero-medial portals, and Travis Decker’s approach to meniscal root tears, emphasizing preparation and repair strategy. The discussion also extends to complex cases, including pediatric scenarios with discoid lateral meniscus and associated OCD lesions, highlighting the challenges and considerations in these unique cases.<br /><br />Overall, the session provides comprehensive insights into the complexities and advancements in the surgical treatment of various meniscus injuries, underscoring the importance of tailored approaches based on specific patient and injury characteristics.
Asset Caption
2:25 pm - 3:25 pm
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Speaker
Cassandra A. Lee, MD
Speaker
Matthew Tao, MD
Speaker
Adnan Saithna, MD, FAANA
Speaker
Paul Allegra, MD
Speaker
Zachary Burnett, MD
Speaker
Aaron J. Krych, MD
Speaker
Romain Seil, MD, PhD
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Travis J. Dekker, MD
Speaker
Nick Colyvas, MD
Speaker
Jocelyn R. Wittstein, MD
Keywords
meniscus ramp lesions
surgical techniques
ACL reconstruction
transnotch visualization
biomechanical analysis
non-weight-bearing
meniscal allograft transplants
postero-medial portals
pediatric cases
knee stability
Cassandra A. Lee, MD
Matthew Tao, MD
Adnan Saithna, MD, FAANA
Paul Allegra, MD
Zachary Burnett, MD
Aaron J. Krych, MD
Romain Seil, MD, PhD
Travis J. Dekker, MD
Nick Colyvas, MD
Jocelyn R. Wittstein, MD
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