IC 203  

Title: A Case Based Approach for Meniscus Repair and Transplantation: Reconsidering Indications, Techniques, and Biologic Augmentation          

Course Description:

The meniscus is vital to normal knee function and the health of the articular cartilage.  While meniscus tears are very common, we proportionately devote little time and resources into improving our surgical indications and technique for meniscus preservation and restoration.  Recently there have been advances in recognition of tear pattern and surgical treatment of meniscus pathology.  As a surgeon, it is important to understand how and when patients can benefit from these procedures. This course will provide a case-based approach to guidelines on how to recognize and treat a variety of meniscus pathology in the isolated and concomitant setting.  Recognition of specific tear patterns, including full-thickness radial tears, complex tears, and root tears will be emphasized.  Variations of surgical techniques, such as transtibial pull-out for root tears, novel all-inside techniques, gold standard repair techniques, and transplantation will be covered.  In addition, emerging biologic augmentation will be discussed. Introduction, Case Presentations on: Bucket Handle Meniscus Tear, Radial Tear, Root Tear, Lateral meniscus radial oblique tear (LMORT), Meniscus Allograft Transplant (MAT), MAT Combined w/Osteotomy and/or Cartilage.

Learning Objectives:

• Participants should be able to understand how to recognize tear patterns from preoperative MRI and intraoperative arthroscopy and utilize this information for planning and execution of meniscus preservation techniques.            
• At the completion of this session, participants should be able to understand indications for meniscus repair in the active patient, pearls, and pitfalls of a variety of repair techniques, as well as anticipated outcomes.  
• At the completion of this session, participants should be able to recognize complex tears patterns, such as meniscus root tears and radial tears, and understand treatment options, including a variety of repair techniques.     
• Participants should be able to understand indications for meniscus transplant, current controversies, and expected outcomes in the setting of meniscus transplantation and concomitant combined procedures, such as osteotomy and ligament reconstruction.                   

Faculty:

James L. Pace, MD         

Kirk Campbell, MD

James L. Carey, MD, MPH           

Jorge Chahla, MD, PhD 

Brian Cole, MD, MBA

Thomas M. DeBerardino, MD    

Wayne K. Gersoff, MD  

Aaron J. Krych, MD        

Matthew Provencher, MD

Scott A. Rodeo, MD