{"id":10060,"date":"2025-08-28T13:13:22","date_gmt":"2025-08-28T13:13:22","guid":{"rendered":"https:\/\/www.centre-ortho.ch\/comprendre-les-lesions-meniscales-associees-au-lca\/"},"modified":"2025-09-07T21:18:46","modified_gmt":"2025-09-07T21:18:46","slug":"understanding-acl-associated-meniscal-injuries","status":"publish","type":"page","link":"https:\/\/www.centre-ortho.ch\/en\/understanding-acl-associated-meniscal-injuries\/","title":{"rendered":"Understanding ACL-Associated Meniscal Injuries"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"10060\" class=\"elementor elementor-10060\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d94eeaaf conteneur_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"d94eeaaf\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6fa33c7b conteneur_ariane_vid_0 e-con-full e-flex e-con e-child\" data-id=\"6fa33c7b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-bbfd52a7 e-flex e-con-boxed e-con e-child\" data-id=\"bbfd52a7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c197378 ariane_vid_0 elementor-widget elementor-widget-breadcrumbs\" data-id=\"6c197378\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Welcome<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e8a42d2b video_vid_1 e-flex e-con-boxed e-con e-child\" data-id=\"e8a42d2b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77f9ec98 video_vid_1 elementor-widget__width-inherit elementor-widget elementor-widget-video\" data-id=\"77f9ec98\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/lyZJ7LC3hxI&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-448f9683 conteneur_principal_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"448f9683\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-eb186920 e-con-full sticky-sidebar colonne_gauche_0 e-flex e-con e-child\" data-id=\"eb186920\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-394c97b1 e-con-full e-flex e-con e-child\" data-id=\"394c97b1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b2b4cdef elementor-widget elementor-widget-shortcode\" data-id=\"b2b4cdef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-49cc17ad e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"49cc17ad\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a127c07e colonne_vid_1 pv-tv-label aleft elementor-widget-icon-box wgl-icon-box wgl-view-default button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"a127c07e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fab-youtube\" aria-hidden=\"true\" viewbox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M549.655 124.083c-6.281-23.65-24.787-42.276-48.284-48.597C458.781 64 288 64 288 64S117.22 64 74.629 75.486c-23.497 6.322-42.003 24.947-48.284 48.597-11.412 42.867-11.412 132.305-11.412 132.305s0 89.438 11.412 132.305c6.281 23.65 24.787 41.5 48.284 47.821C117.22 448 288 448 288 448s170.78 0 213.371-11.486c23.497-6.321 42.003-24.171 48.284-47.821 11.412-42.867 11.412-132.305 11.412-132.305s0-89.438-11.412-132.305zm-317.51 213.508V175.185l142.739 81.205-142.739 81.201z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Video type:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button no_text no_media\"><div class=\"button__content\"><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f6fadf2 colonne_vid_2 pv-tv-value aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"4f6fadf2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Specialized presentation<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-87001c6b e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"87001c6b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ab266f7e colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"ab266f7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Anatomy:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Knee<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0bc26ec colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"a0bc26ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Surgery:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Meniscal repair; ACL reconstruction<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b6ecd83 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"1b6ecd83\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Pathology:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Meniscal injury; ACL injury<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0cbb6b34 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"0cbb6b34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Thematic:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Surgery<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-52589f4f e-con-full colonne_vid_0 pv-cta-card e-flex e-con e-child\" data-id=\"52589f4f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a774064 conteneur_spec_vid_6 elementor-widget__width-inherit aleft elementor-widget-icon-box wgl-icon-box elementor-widget elementor-widget-wgl-button\" data-id=\"9a774064\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button  align-icon-left\" href=\"\/en\/consultation\/\" role=\"button\"><div class=\"button__content\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-calendar-day\" aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V192H0v272zm64-192c0-8.8 7.2-16 16-16h96c8.8 0 16 7.2 16 16v96c0 8.8-7.2 16-16 16H80c-8.8 0-16-7.2-16-16v-96zM400 64h-48V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H160V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H48C21.5 64 0 85.5 0 112v48h448v-48c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><span class=\"button__text\">Consultations<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e10fe3bd e-con-full e-flex e-con e-child\" data-id=\"e10fe3bd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ede5929 elementor-widget elementor-widget-shortcode\" data-id=\"8ede5929\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f47df869 e-con-full conteneur_droit_vid_0 e-flex e-con e-child\" data-id=\"f47df869\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-d647e8c3 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"d647e8c3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-628dd66b titre_vid_1 elementor-widget elementor-widget-heading\" data-id=\"628dd66b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Understanding ACL-Associated Meniscal Injuries<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6e0519a paragraphe_vid_1 elementor-widget elementor-widget-text-editor\" data-id=\"a6e0519a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This presentation explores in depth meniscal injuries associated with ACL tears. It highlights the importance of meniscal repair to prevent long-term osteoarthritis, and presents modern repair techniques and their outcomes. Epidemiological and clinical data from large series are discussed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-578273a6 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"578273a6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-23acf234 tabs_vid_1 tabs-full-width-yes elementor-widget elementor-widget-wgl-tabs\" data-id=\"23acf234\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-tabs wgl-tabs_swiper-wrapper tabs_align-justify\">\n            <div class=\"wgl-tabs_headings-wrap swiper\">\n                <div class=\"wgl-tabs_headings swiper-wrapper\"><h4 data-tab-id=\"wgl-tab_5981\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Doctors<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_5982\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Topics<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_5983\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Treatments<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_5984\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Advice<\/span>\n\n                    \n                <\/h4><\/div>\n        <\/div>\n\n        <div class=\"wgl-tabs_content-wrap\">                <div data-tab-id=\"wgl-tab_5981\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Dr. Bertrand Sonnery-Cottet<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_5982\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Biomechanical considerations of meniscal injuries<\/li><li> Modern repairs<\/li><li> Clinical studies<\/li><li> Root lesions<\/li><li> Ramp lesions<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_5983\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check_circle list_primary_color\"><li>Meniscal suture<\/li><li> ACL reconstruction<\/li><li> Ligament repair<\/li><li> Menisectomy<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_5984\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check list_primary_color\"><li>Do not neglect meniscal root injuries<\/li><li> Systematically explore ramp lesions<\/li><li> Repairing lesions to preserve meniscal function<\/li><li> Combine enterolateral reconstruction if necessary<\/li><\/ul>                <\/div>\n\n                    <\/div>\n        <\/div><!-- .wgl-tabs -->\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8285d38 elementor-widget elementor-widget-shortcode\" data-id=\"f8285d38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fc5eb896 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"fc5eb896\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9cc9df85 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"9cc9df85\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ACL rupture: a subluxation with associated injuries<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b252d3c elementor-widget elementor-widget-text-editor\" data-id=\"9b252d3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Anterior cruciate ligament rupture should be considered as a knee subluxation. This framework explains the high frequency of associated injuries: meniscal injuries, anterolateral injuries and posteromedial detachments. The prognosis of the knee then depends largely on the meniscal status, a true &quot;ring&quot; whose continuity maintains load distribution. <br><br>Ignoring a meniscal injury can lead to an unfavorable outcome, even if ACL reconstruction is successful. Hence the need for systematic investigation and, if necessary, repair.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-85f8b690 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"85f8b690\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8d81a75f titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"8d81a75f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prevalence, limitations of MRI and need for subsequent exploration<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8edc490 elementor-widget elementor-widget-text-editor\" data-id=\"e8edc490\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Depending on the series, 25 to 75 % ACL reconstructions are accompanied by meniscal lesions. MRI may underestimate some of these, particularly capsulo-meniscal detachments (&quot;ramps&quot;) or lateral instabilities. Posterior arthroscopic exploration reveals these hidden lesions and guides an appropriate repair procedure.<br><br>Thinking of the meniscus as a continuous ring helps to understand extrusion and loss of function upon rupture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7f2eecbc e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"7f2eecbc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-530a381d conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"530a381d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">Meniscal lesions are predictive of the risk of osteoarthritis in the medium and long term.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18528299 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"18528299\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b4127608 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"b4127608\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Root and ramp injuries: consequences and repair<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c579056 elementor-widget elementor-widget-text-editor\" data-id=\"2c579056\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A root lesion is functionally equivalent to a complete menisectomy: the ring is ruptured, the meniscus extrudes and no longer converts axial loads. Transtibial or anchor repair restores continuity and reduces contact pressures. A ramp lesion, the posterior brake of the knee, increases tibial translation and compromises ligament reconstructions if it is not repaired. <br><br>Treatment consists of identifying, reinvigorating and suturing these lesions as close as possible to the natural insertion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-017c48e8 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"017c48e8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50a677c1 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"50a677c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Clinical results: improving suture survival<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cd505ec elementor-widget elementor-widget-text-editor\" data-id=\"1cd505ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Recent series show a clear improvement in results: the failure rate of repairs fell when techniques became standardized and posterior exploration became systematic. The association of anterolateral plasty with ACL reconstruction further reduces the failure rate of capsulomeniscal sutures, reflecting better control of tibial rotation.<br><br>These data reinforce the restorative option when indicated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4ce9e655 e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"4ce9e655\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7deef49d conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"7deef49d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">It is better to spend time suturing than doing menisectomies.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-88692811 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"88692811\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9dafb08b titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"9dafb08b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Epidemiological data and risk factors put into perspective<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b21fe14 elementor-widget elementor-widget-text-editor\" data-id=\"2b21fe14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The prevalence of root injuries remains moderate in ACL reconstructions, but their impact is significant, warranting active research. Risk factors include contact sports, concomitant injuries, and, for ramps, chronicity and significant laxity. <br><br>The accident-surgery delay does not increase root lesions, whereas ramp lesions increase over time when instability persists, an argument in favor of timely treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0f2708a9 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"0f2708a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a430b7df titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"a430b7df\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Clinical Cap: Restoring the ring to preserve the future of the knee<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16efb779 elementor-widget elementor-widget-text-editor\" data-id=\"16efb779\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When faced with an ACL tear, the optimal strategy combines ligament reconstruction and meniscal repair when indicated. Restoring annulus continuity, treating a ramp, and stabilizing the lateral compartment restore cartilage-protecting biomechanics to the knee. <br><br>The common thread remains function: preserving today to avoid osteoarthritis tomorrow and allowing a safe return to sport.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c6f243e e-con-full conteneur_tags_0 e-flex e-con e-child\" data-id=\"0c6f243e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76e2b117 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"76e2b117\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/meniscus\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">meniscus<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-213ba55b conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"213ba55b\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/lca\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">LCA<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51c4e8fc conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"51c4e8fc\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/knee-surgery\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">knee surgery<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7e87180 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"d7e87180\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/meniscal-suture\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">meniscal suture<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-990cca64 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"990cca64\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/osteoarthritis\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">osteoarthritis<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-182fd926 e-con-full e-flex e-con e-parent\" data-id=\"182fd926\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d559d5d9 elementor-widget elementor-widget-shortcode\" data-id=\"d559d5d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d486d2b8 e-con-full e-flex e-con e-parent\" data-id=\"d486d2b8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9014935f elementor-widget elementor-widget-shortcode\" data-id=\"9014935f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a8796fc e-con-full e-flex e-con e-parent\" data-id=\"8a8796fc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a62bad59 elementor-widget elementor-widget-shortcode\" data-id=\"a62bad59\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>This presentation explores in depth the meniscal lesions associated with ACL ruptures. It highlights the importance of meniscal repair to prevent long-term osteoarthritis, and presents modern repair techniques and their results.<\/p>","protected":false},"author":1,"featured_media":15035,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[76],"tags":[152,170,172,156,222],"class_list":["post-10060","page","type-page","status-publish","has-post-thumbnail","hentry","category-videos","tag-arthrose","tag-chirurgie-du-genou","tag-lca","tag-menisque","tag-suture-meniscale"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/10060","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/comments?post=10060"}],"version-history":[{"count":0,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/10060\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media\/15035"}],"wp:attachment":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media?parent=10060"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/categories?post=10060"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/tags?post=10060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}