In this episode we discuss meniscal and chondral knee injuries with Mr. Tim Spalding. Tim Spalding is a renowned Consultant Orthopaedic Surgeon based at the University Hospitals Coventry whose expertise includes autologous chondrocyte transplantation as well as an unrivalled experience in meniscal transplantation. He is also one of the lead developers of the National Ligament Registry. Questions: 00:46: Introduction 01:24: How do you approach a patient with a meniscal tear? 03:06: What is the rule of fours? 04:21: What do you tell the athletic patient with a meniscal tear in clinic? 05:31: What are the technical considerations for performing meniscal repair? 07:21: How do you diagnose a meniscal root tear? 09:01: Who are the main beneficiaries and what is the cost effectiveness of meniscal transplantation? 12:51: How would you summarise meniscal surgery? 13:01: Articular cartilage from aetiology to management of injuries 15:21: NICE Guidelines on ACI vs microfracture including the cost effectiveness

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