These presentations were recorded at the 2018 ESSKA Congress in Glasgow, Scotland on 9-12 May 2018.

  • Why You Should Save the Meniscus

    Dr Charles Brown (UAE).

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    In this video, Dr Charles Brown discusses the kinematics and functions of the meniscus, and why it is important to save the meniscus as opposed to removing or resecting it. He states what clinical evidence has been published on the function of the meniscus and its importance.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Clinically Relevant Meniscal Anatomy

    Dr Thomas Harlem (NO).

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    In this video, Dr Thomas Harlem discusses the meniscal anatomy, using a recorded cadaveric specimen to show clinically relevant meniscal anatomy. He also discusses specific meniscal anatomy and their function in the greater anatomy.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Improving the Healing Environment for Meniscus Repair

    Prof Peter Verdonk (BE).

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    In this video, Prof Peter Verdonk discusses tips and pearls that can be used in the operating room to ensure there is a better healing and more positive healing outcome in a meniscal repair case. He discusses different methods, including mechanical stimulation, microfracturing, radiofrequency, fibrin cloth, etc.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Outside-In Repair Technique

    Mr Tim Spalding (UK).

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    In this video, Mr Tim Spalding discusses how to perform an outside-in meniscal repair using different techniques, including one using the Smith & Nephew Meniscal Mender. He also shows how to use one and two spinal needles to perform this technique.

    His top tips for performing an outside-in meniscal repair are to use a test needle, a grasper for counter pressure, use different colour sutures, use a non-absorbable suture from the anterior and manipulate through the loop inside the joint or outside.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • All-Inside Meniscal Repair Technique

    Dr Duncan Meuffels (NE).

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    In this video, Dr Duncan Meuffels discusses the all-inside meniscal repair technique. In his presentation he covers the biomechanics of the meniscus, indications for this technique and meniscal repair, complications that may occur and how to avoid them, technique and he presents outcome data from this technique.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Pushing the Limits of Meniscal Repair

    Dr Charles Brown (UAE).

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    In this video, Dr Charles Brown discusses the inside-out meniscal repair technique and why he thinks this is the gold standard in meniscal repair. He discusses instrumentation tools and types, different suture options, indications for the inside-out, and much more. He also shares some cases that he has done and their outcomes.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Reasons to Save The Meniscus

    Dr Volker Musahl (US).

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    In this video, Dr Volker Musahl discusses clinical outcome data on different arthroscopic meniscal techniques (meniscectomy, repair, etc) and recommends to try to save the meniscus as often as possible.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • How to Improve Your Meniscal Root Repairs

    Mr James Robinson (UK).

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    In this video, Mr James Robinson discusses what can happen if a meniscal root repair is left untreated, what suture types are suited for which tears, and how to maintain the load bearing when repairing. He also show a variety of surgical footage to show how he performs a meniscal root repair, while pointing out critical landmarks and steps.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • The Importance of Lateral Meniscus Root Tears in ACL Surgery

    Dr Sebastian Kopf (US).

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    In this video, Dr Sebastian Kopf discusses the affect lateral meniscal root tears can have on ACL surgery, but also on the pressure, cartilage and resulting anatomy in the knee. He also gives tips and pearls on meniscal repair in conjunction with ACL surgery.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Lateral Meniscus Root Repair: How I Do It

    Dr Charles Brown (UAE).

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    In this video, Dr Charles Brown explains how he performs a lateral meniscus root repair, with commentary to a surgical footage video of a case. He also walks through a revision root repair with follow-up scope footage.

    On his summary slide, Dr Brown states that lateral meniscal tears further destabilize the ACL deficient knee. You should suspect lateral meniscus root tears in a patient who has a high-grade PS and in patients undergoing revision ACL surgery.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Clinically Relevant Inoperative ACL Anatomy

    Dr Freddie Fu (US).

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    In this video, Dr Freddie Fu discusses the clinically relevant ACL anatomy of the knee and what surgeons should be prepared for, looking for and able to operate on. Dr Freddie Fu describes how to take all factors into consideration, including patient age, surgical history, etc.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Remnant Preservation in ACL Reconstruction: Where are we in 2018?

    Dr Nicolas Pujol (FR).

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    In this video, Dr Nicolas Pujol discusses how to preserve the remnant in ACL reconstruction or ACL repair surgery. On this conclusion slide, he states that there are many indications for this, and it depends on the type of graft used if this is the right option. He states that it is easier with hamstring grafts, but that one should be careful if using BTB grafts. Overall, he states that he has had good results with low complications implementing this procedure.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • B-PT-B ACL Reconstruction

    Mr Andy Williams (UK).

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    In this video, Mr Andy Williams argues why a bone-patella tendon-bone graft is the best graft to use in an ACL reconstruction case. He also states when he may prefer to use a hamstring tendon graft or a quadriceps tendon.

    He prefers to use a bone-patella tendon-bone graft in elite footballers, cases with MCL laxity, revision cases, loose knees, hyper-extenders and those with 'ribbon reconstructions'. He shows how he performs a graft ACL reconstruction procedure with a surgical video.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • The Case for Hamstring Tendon Autograft in ACL Reconstruction

    Dr Charles Brown (UAE).

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    In this video, Dr Charles Brown discusses why he prefers to use a hamstring graft in ACL reconstruction surgeries. He states that the advantages of a hamstring graft are this high initial load to failure and stiffness, the larger cross-sectional area in comparison to a BTB, it requires a smaller skin incision and less surgical dissection, that there is no damage to the extensor mechanism, that there is lower incidence of anterior and kneeling pain compared to a BTB autograft, it is an easier graft passage, and there is less postoperative pain.

    He also goes on to state the disadvantages of the hamstring tendon, with published clinical data on advantages and disadvantages of using this graft.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Quadriceps Tendon Graft for ACL Reconstruction

    Prof Martin Lind (DK).

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    In this video, Professor Martin Lind discusses why a quadriceps tendon is a great graft for ACL reconstructive surgery. Some of his main arguments for a quadriceps tendon is that the tendon is a thick tendon, reduced anterior knee pain, it may have less post-operative instability, and it has a similar biomechanical strength and stiffness in comparison to the native ACL.

    On his conclusion slide, he states that the tendon biomechanical properties of a quadriceps tendon are closer to a normal ACL in comparison to any other graft type. Using a QTB graft can result in less anterior pain and sensory loss in comparison to a BTB or a hamstring graft, otherwise it has similar subjective and knee stability outcomes.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Approaching 0% Infection Rate in ACL Reconstruction

    Dr JC Monilau (SP).

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    In this video, Dr JC Monilau discusses what some of the main causes of infection are in knee arthroscopy surgery. He states the preventative measures are the best, including patient education and hygiene prior to surgery, graft choice, as well as antibiotics to use pre, intra and post operatively.

    On his conclusion slide, he states that autograft pre-soaking with vancomycin reduces the rate of knee joint infection following an ACL reconstruction in comparison to AB prophylaxis alone.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Lateral Extra-articular Tendonesis: Is it needed? Does it make a...

    Dr Al Getgood (CA).

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    In this video, Dr Al Getgood discusses what is assumed, known and unknown in the realm of lateral extra-articular tendonesis. He backs his statements with published clinical data and his experience.

    On his conclusion slide, he states that an ACL rupture is not an isolated injury. In young, active patients, there are still high failure rates when using contemporary techniques for all ACL reconstructive surgeries.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018

  • Lateral Extrarticular Tenodesis: Modified Lemaire

    Dr Eivind Inderhaug (NO).

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    In this video, Dr Eivind Inderhaug discusses the  Modified Lemaire ACL reconstruction surgical approach and how to harvest grafts with the different versions/techniques. He also walks through a procedure and discusses clinical outcome studies.

    Recorded at:
    ESSKA Congress
    Glasgow, Scotland
    9-12 May, 2018