IC 203-2022: A Case Based Approach for Meniscus Repair and Transplantation: Reconsidering Indications, Techniques, and Biologic Augmentation-A Case Based Approach for Meniscus Repair and Transplantation: Reconsidering Indications, Techniques, and Biologic Augmentation (1/7)

A Case Based Approach for Meniscus Repair and Transplantation: Reconsidering Indications, Techniques, and Biologic Augmentation (1/7)

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Video Transcription

Video Summary

In this video, a case is presented of a 21-year-old college soccer player with an acute ACL tear and a lateral meniscus tear in the posterior horn. MRI images are shown to illustrate the tear pattern and attachment to the bone. The speaker then asks the viewers to diagnose the case and shows a scope video that confirms the tear pattern. The speaker discusses the treatment options, with the consensus being to repair the tear using a trans-tibial approach and radial repair. Rehabilitation after surgery is also discussed, with the understanding that the patient will have a slower recovery compared to teammates. The speaker emphasizes the importance of identifying and bringing down the kickstand fragment and highlights the use of all-inside knot tying for better control. Healing rates for this type of tear are reported to be high. The video concludes with a mention of a recent study that shows removing the meniscus fragment affects anterior drawer and pivot shift, making repair a preferred option. The presenter thanks the viewers for their attention. No credits are mentioned.

Asset Caption

Aaron Krych, MD

Keywords

ACL tear

lateral meniscus tear

MRI images

treatment options

trans-tibial approach