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Sports Medicine
intermediate
X-Type

Meniscal Repair Principles

Knee Injuries

A 25-year-old soccer player sustains an ACL rupture with a concurrent longitudinal medial meniscal tear during a pivoting injury. MRI shows the tear is in the peripheral third (red zone) of the meniscus, measuring 2cm in length. The tear is complete through the meniscal body. He is scheduled for ACL reconstruction and the surgeon is discussing meniscal repair options versus partial meniscectomy. Regarding meniscal repair:

Mark each as TRUE or FALSE

A

The meniscal blood supply comes from the perimeniscal capillary plexus arising from the geniculate a...

B

Indications for meniscal repair include: peripheral tears (red-red or red-white zone), vertical long...

C

The inner third of the meniscus has the best blood supply; horizontal tears are ideal for repair; AC...

D

Repair techniques include: inside-out (gold standard - vertical mattress sutures, requires posterior...

E

Concurrent ACL reconstruction improves meniscal healing rates (from 60-70% to greater than 90%) due ...

Answer the questions to see explanations

Click T (True) or F (False) for each option