2023 Specialty Day All-Access Pass-Biologics for Meniscus Repair

Video Transcription

Video Summary

In this video, Seth Sherman from Stanford University discusses the use of biologics for meniscus repair. He mentions that while meniscus repair is on the rise, the success rates remain suboptimal, especially for complex tear patterns in older patients. Sherman focuses on biologic augmentation as a potential solution and highlights five areas that can be utilized to improve meniscus healing. These include rasping the meniscus, using fiber and clot as a scaffold, utilizing marrow venting, employing platelet-rich plasma (PRP), and exploring cell-based augmentation. He acknowledges that while there is promising evidence, further research is needed to establish the effectiveness of these techniques. Sherman concludes by suggesting a simple approach for 2023, including no augmentation with ACLs, marrow venting for most isolated repairs, and selective use of PRP for complex or revision cases. He emphasizes the importance of following the evidence and collective outcome collection.

Asset Caption

Seth L. Sherman, M.D.

Keywords

biologics

meniscus repair

complex tear patterns

biologic augmentation

marrow venting