AOSSM 2022 Annual Meeting Recordings - no CME-All-Inside Meniscus Repair Leads to Higher Rate of Failure Compared to Inside-Out Meniscus Repair in Elite Athletes

All-Inside Meniscus Repair Leads to Higher Rate of Failure Compared to Inside-Out Meniscus Repair in Elite Athletes

Video Transcription

Video Summary

In this video, the speaker discusses a study focused on elite athletes undergoing meniscus repair. The study aimed to determine whether all-inside and inside-out repair techniques were equivalent in this high-risk patient cohort. A retrospective review of meniscal repairs in elite athletes was conducted, including 170 athletes with an average age of 23. The results showed that medial meniscus repairs had a significantly higher failure rate of 42% compared to the 12% failure rate of lateral repairs. All-inside medial repairs had the highest failure rate at 58% compared to 23% for inside-out repairs. The majority of failures occurred within the first two years. The speaker notes that these findings may not be applicable to the general population and highlights the limitations of the study being retrospective and based on personal practice rather than a database. Overall, the study concludes that medial meniscus repairs have a higher failure rate, particularly with all-inside techniques, while no difference was found for lateral repairs.

Asset Caption

Kyle Borque, MD

Keywords

elite athletes

meniscus repair

all-inside repair

inside-out repair

failure rate