APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing Meniscus Repairs

Video Transcription

Video Summary

Kevin Bonner from Virginia Beach discusses optimizing meniscus repair techniques, including all-inside, inside-out, outside-in, root, and ramp repairs. Each repair type caters to different tear locations and complexities. The all-inside technique is popular for smaller, less complex tears, utilizing various implants with specific features like the reverse curve design. Inside-out repairs, although not always necessary, are preferred for complex tears, utilizing small needle bores to minimize damage. Outside-in repairs are vital for anterior third tears. Bonner highlights the importance of understanding neurovascular structures to avoid complications.<br /><br />Additionally, root tears have increased understanding, often associated with ACL tears, requiring precise repair techniques like transtibial sutures. Ramp lesions at the medial meniscal capsular junction, prevalent with ACL tears, require careful visualization and repair through specific portals. Bonner emphasizes having a versatile repair toolbox, highlighting the need for surgeons to adapt to various repair methods to ensure optimal healing and reduce complications.

Asset Caption

Faculty: Kevin F. Bonner, M.D., FAANA

Keywords

meniscus repair

all-inside technique

root tears

ramp lesions

neurovascular structures

ACL tears