AANA19 Knee Access Pass-Donnybrook : Meniscus Repair all Inside Best-Dr. Peter R. Kurzweil, M.D.

Donnybrook : Meniscus Repair all Inside Best-Dr. Peter R. Kurzweil, M.D.

Video Transcription

Video Summary

In this video, the speaker discusses different techniques for meniscus repair. They focus on the "all inside" technique, which is best suited for middle and posterior third tears but not suitable for anterior third tears. The speaker highlights the drawbacks of the "inside-out" technique, which carries a risk of neurovascular injury. The "all inside" technique has advantages such as faster performance, no need for posterior incisions, and reduced complications. Biomechanically, both sutures and fixators restore meniscus biomechanics to near-intact levels. Clinically, the failure rate is similar for both techniques, but inside-out sutures have a slightly higher complication rate. New advancements in all-inside repair now allow for the repair of previously irreparable tears. The speaker emphasizes that meniscal repair is becoming more important due to the increasing belief that meniscectomies are unnecessary.

Asset Caption

Concurrent Scientific Session I: Knee 5.3.2019

Keywords

meniscus repair

all inside technique

inside-out technique

neurovascular injury

meniscal biomechanics