Combined Procedure of Arthroscopic Pullout Medial Meniscal Root Repair From Lateral Tibia and Open-Wedge Distal Tibial Tubercle Osteotomy.

ABSTRACT: Pullout repair of medial meniscal posterior root tears (MMPRTs) is generally recommended for patients with well-aligned knees, whereas open-wedge high tibial osteotomy (OWHTO) is often recommended for patients with MMPRTs and varus osteoarthritis. Although the management of MMPRTs with OWHTO has been controversial, retaining meniscal function can be expected through pullout repair. Conventionally, bone tunnels in pullout repair are created from the proximal anteromedial tibia. However, this technique could cause a killer angle of the repaired meniscus and could have a risk of turning the guidewire toward the neurovascular band. Therefore, we create a bone tunnel from the proximal anterolateral tibia combined with open-wedge distal tibial tubercle osteotomy, which can prevent an increase in

SUBMITTER: Takigami J 

PROVIDER: S-EPMC11411304 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature