Arthroscopic repair of the posterior horn of the medial meniscus with opening wedge high tibial osteotomy: surgical technique.
Simultaneous repair of a radial tear at the tibial attachment site of the posterior horn of the medial meniscus under special circumstances requiring tibial valgus osteotomy is technically difficult. First, most patients who need an osteotomy have a narrowed medial tibiofemoral joint space. In such a situation, the pull-out suture technique is more difficult to perform than in a normal joint space. Second, pulling out suture strands that penetrate the posterior horn of the medial meniscus to the anterior tibial cortex increases the risk of transection during osteotomy. We performed a meniscus repair combined with an opening wedge tibial valgus osteotomy without complications and present our technique as a new method for use in selective cases necessitating both meniscus repair of a complete radial tear and opening wedge tibial osteotomy.
Jung
Kwang Am
KA
Department of Orthopaedic Surgery, Himchan Hospital, Seoul, Korea.
Kim
Sung Jae
SJ
Lee
Su Chan
SC
Jeong
Jae Hoon
JH
Song
Moon Bok
MB
Lee
Choon Key
CK
D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D013536:Suture Techniques; D013977:Tibia / Q000601:surgery; D000070600:Tibial Meniscus Injuries