2024 AOSSM Annual Meeting Recordings with CME-Concurrent Session A: Meniscal Tears

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Video Summary

The session focused on meniscus ramp lesions, their diagnosis, management, and associated complications. Adnan Saifna from the Santee Group presented on risk factors and failure rates of meniscus ramp lesions diagnosed during ACL reconstruction. He highlighted the high misdiagnosis rate of ramp lesions in standard anterior portal viewing due to their location in a blind spot behind the femoral condyle. Ramp lesions are common in ACL-injured knees and if untreated, lead to knee instability and higher chances of secondary meniscectomy. Saifna’s study, which reviewed 1,000 patients over an average follow-up of 72 months, found a failure rate (indicated by secondary meniscectomy) of 7.7%. It was noted that patients undergoing isolated ACL reconstruction were at a higher risk compared to those who had additional lateral extra-articular procedures.<br /><br />Other presentations looked into various aspects and techniques of meniscus repair. Paul Allegra discussed the biomechanical integrity of medial meniscus repair under cyclic loading, noting the repair often fails to withstand immediate weight-bearing. Next, postoperative outcomes of lateral meniscus oblique radial tear repairs during ACL reconstructions were reviewed, showing favorable patient-reported outcomes with a low failure rate, suggesting that repair during ACL reconstruction should be routine. Aaron Critch presented on midterm outcomes of meniscus allograft transplants, revealing good to excellent results and emphasizing better outcomes with earlier intervention prior to advanced cartilage degeneration. <br /><br />Finally, practical sessions from Roman Seil, Travis Decker, and Nick Cullivoss provided insights into advanced techniques for repairing meniscus ramp lesions, root tears, and radial tears. These included innovative surgical approaches, the importance of anatomical and structured repairs, and proper postoperative rehabilitative protocols to ensure optimal healing and knee stability.

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

Speaker Travis J. Dekker, MD

Speaker Nick Colyvas, MD

Speaker Jocelyn R. Wittstein, MD

Keywords

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

meniscus ramp lesions

ACL reconstruction

knee instability

secondary meniscectomy

biomechanical integrity

meniscus repair

patient-reported outcomes

meniscus allograft transplants

surgical techniques

postoperative rehabilitation