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Self-Assessment Questions

Orthopaedic Surgery

Answer 1
  1. Meniscal repair. Although meniscal repair will result in a premature end to this player’s season, it is the best option. Meniscectomy (either open or arthroscopic) is associated with the late development of arthritis. Return to play, even if the meniscus can be reduced, will likely lead to further tearing and degeneration of the meniscus, making it irreparable at the end of the season. Meniscal repair is traditionally done with arthroscopically placed sutures that are tied directly over the joint capsule through small incisions. Newer devices are now available that allow surgeons to perform meniscal repair without incisions (“all inside” techniques); however, a variety of complications have been reported with their use.

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