Thank you for this really exciting session on ACL. We now move to the meniscus. It's a great pleasure to introduce the moderators for the meniscus and cartilage session. And may I please call upon Bob Marks, of course he's here, and Brian Waterman from Wake Forest to do the proceeding. Thank you, Sachin, and appreciate the opportunity to participate this morning. Here's our other panelist, Derek Strauss. And let's get right into the case. It's a 46-year-old woman with a BMI of 27 who's active. She's a teacher and felt a sudden pop with excruciating pain six weeks ago while she was doing yoga. She has night pain, difficulty climbing stairs, and we're going to say she's failed non-operative treatment. She's in varus alignment with range of motion 0 to 5. Sachin told me she had a slight fixed flexion deformity to 120 degrees of flexion, a small effusion, a tender medial joint line, stable ligaments, and a varus thrust gate. And here you can see evidence of the root tear on all of these images, axial, sagittal, coronal, clear root. Here's her alignment measurements. She's obviously in varus, about 6.5 degrees MTFA, and calculated out that the medial opening wedge would need to be 8.6 millimeters. So I would like to hear from both of you and advocating different positions. Eric's first.

knee injury

non-operative treatment

varus alignment

meniscus root tear

medial opening wedge procedure