scholarly journals A New Technique Combining Open-Wedge High Tibial Osteotomy and Medial Meniscus Reconstruction Using the Semitendinosus Tendon

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Kamei Goki ◽  
Ishikawa Masakazu ◽  
Nakata Kyohei ◽  
Nekomoto Akinori ◽  
Nakamae Atsuo ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Medial Meniscus ◽  
Semitendinosus Tendon ◽  
New Technique ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Wedge High Tibial Osteotomy ◽  
A New Technique

Distal tuberosity osteotomy in open wedge high tibial osteotomy can prevent patella infera: a new technique

The Knee ◽  
2004 ◽  
Vol 11 (6) ◽  
pp. 457-461 ◽  
Author(s):  
R.D.A. Gaasbeek ◽  
H. Sonneveld ◽  
R.J. van Heerwaarden ◽  
W.C.H. Jacobs ◽  
A.B. Wymenga
Keyword(s):  
High Tibial Osteotomy ◽  
New Technique ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Patella Infera ◽  
Wedge High Tibial Osteotomy ◽  
A New Technique

Comparison of the Radiologic, Arthroscopic, and Clinical Outcomes between Repaired versus Unrepaired Medial Meniscus Posterior Horn Root Tear During Open Wedge High Tibial Osteotomy

2019 ◽  
Vol 34 (01) ◽  
pp. 057-066 ◽  
Author(s):  
O-Sung Lee ◽  
Seung Hoon Lee ◽  
Yong Seuk Lee
Keyword(s):  
Clinical Outcomes ◽  
High Tibial Osteotomy ◽  
Medial Meniscus ◽  
Weight Bearing ◽  
Joint Space ◽  
Posterior Horn ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Root Tear ◽  
Wedge High Tibial Osteotomy

AbstractThe efficacy and outcomes for the concurrent repair of medial meniscus posterior horn root tear (MMPHRT) during open wedge high tibial osteotomy (OWHTO) are unclear. This study compared the radiologic, arthroscopic, and clinical outcomes between repaired and unrepaired MMPHRT during OWHTO. Fifty-seven patients were prospectively enrolled from 2014 to 2016. The radiologic, arthroscopic, and clinical outcomes were compared between 25 patients who underwent OWHTO with all-inside repair of MMPRT using FasT-Fix (repaired group) and 32 patients who underwent OWHTO without repair of MMPRT (unrepaired group) with a mean 2-year follow up in both groups. The meniscal healing status was classified as complete, partial, or no healing, according to second-look arthroscopic findings. The medial meniscal extrusion (MME) was evaluated using magnetic resonance imaging. The width of medial joint space, joint line convergence angle (JLCA), posterior tibial slope (PTS), Kellgren–Lawrence (KL) grade, hip-knee-ankle angle, and weight-bearing line ratio was evaluated on simple standing. The clinical outcomes were evaluated using the Knee Society score and the Western Ontario and McMaster University score. Healing rates (partial and complete) of the MMPHRT showed a statistical difference between the two groups (repaired group vs. unrepaired group, 19/25 (76%) vs. 13/32 (40.6%), p = 0.008). The postoperative MME showed no statistical differences between groups (repaired versus unrepaired group: 4.5 ± 1.3 mm vs. 4.5 ± 2.1 mm, p = 0.909). The postoperative width of medial joint space, JLCA, PTS, and KL grade all showed no statistical differences between groups after 2 years of OWHTO. Other radiologic parameters and clinical outcomes showed no statistical differences between groups. Repair of the MMPHRT during OWHTO showed a superior healing rate to the unrepaired MMPHRT. However, repair of the MMPHRT was not related to the radiologic and clinical outcomes. Therefore, there is no clear evidence of the need for the MMPHRT repair during OWHTO.

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