Second-Look Arthroscopic Findings After Open-Wedge High Tibia Osteotomy Focusing on the Posterior Root Tears of the Medial Meniscus

Nha, Kyung-Wook; Lee, Yong Seuk; Hwang, Dae-Hee; Kwon, Jae Ho; Chae, Dong Ju; Park, Young Jee; Kim, Jong In

doi:10.1016/j.arthro.2012.08.027

Cited by 64 publications

(76 citation statements)

References 25 publications

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“…Nha et al54) found that high tibial corrective osteotomy in patients with combined MMPRT and varus deformity resulted in acceptable clinical improvements in 20 patients. Of these, 10 patients showed complete repair at a second-look arthroscopic examination, while 6 showed incomplete repair.…”

Section: Treatment Of Mmprtmentioning

confidence: 99%

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Lee¹,

2014

Knee Surg Relat Res

100

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Damage to the medial meniscus root, for example by a complete radial tear, destroys the ability of the knee to withstand hoop strain, resulting in contact pressure increases and kinematic alterations. For these reasons, several techniques have been developed to repair the medial meniscus posterior root tear (MMPRT), many of which have shown complete healing of the repaired MMPRT. However, efforts to standardize or optimize the treatment for MMPRT are much needed. When planning a surgical intervention for an MMPRT, strict surgical indications regarding the effect of pullout strength on the refixed root, bony degenerative changes, mechanical alignment, and the Kellgren-Lawrence grade should be considered. Although there are several treatment options and controversies, the current trend is to repair the MMPRT using various techniques including suture anchors and pullout sutures if the patient meets the indications. However, there are still debates on the restoration of hoop tension and prevention of arthritis after repair and further biomechanical and clinical studies should be conducted in the future. The aim of this article was to review and summarize the recent literature regarding various diagnosis and treatment strategies of MMPRT, especially focusing on conflict issues including whether repair techniques can restore the main function of normal meniscus and which is the best suture technique to repair the MMPRT. The authors attempted to provide a comprehensive review of previous studies ranging from basic science to current surgical techniques.

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Section: Treatment Of Mmprtmentioning

confidence: 99%

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Lee¹,

2014

Knee Surg Relat Res

100

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“…Several regimens for MMPRTs have been introduced, including conservative treatment, 8,9 meniscectomy, 10,11 root refixation, [11][12][13][14][15][16] and high tibial osteotomy. 17 The "traditional" treatment for MMPRTs is meniscectomy; it has been widely used for a long time. Meniscectomy can provide symptomatic relief, but most cases in which meniscectomy has been performed ultimately progress to degenerative arthritis.…”

mentioning

confidence: 99%

Comparison of Clinical and Radiologic Results Between Partial Meniscectomy and Refixation of Medial Meniscus Posterior Root Tears: A Minimum 5-Year Follow-up

Chung

Yeom

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

183

268

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“…Although the range of flexion was gradually increased unless severe pain was caused, more than 90° flexion was not permitted for the two postoperative weeks. In spite of the possibility of spontaneously healing after osteotomy9), the combined posterior root tears of the medial meniscus were suture repaired to alleviate mechanical symptoms, and microfracture was performed for full thickness chondral defect as the subchondral bone was exposed (Table 2). Weight-bearing was not allowed for knees that underwent microfracture or meniscus suture repairs for six postoperative weeks, whereas partial weight-bearing was permitted for the remaining knees as long as it does not cause surgical site tenderness and pain during walking.…”

Section: Methodsmentioning

confidence: 99%

Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

Cho

Kim

Lee

et al. 2013

Knee Surg Relat Res

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PurposeTo compare the radiographic and clinical results of medial open wedge high tibial osteotomy (OWHTO) using autogenous bone graft and allogenous cancellous bone graft for medial compartment osteoarthritis of the knee with two-year follow-up.Materials and MethodsFifty-one patients (52 knees) who underwent medial OWHTO from October 2007 to April. 2010 were included in the study. The patients were divided into group I (n=29) that received an autogenous tricortical bone graft and group II (n=23) that received an allogenous cancellous bone chip graft. The radiographic parameters (preoperative anatomical and mechanical femorotibial angles, modified tibial bone varus angle, and posterior tibial slope), clinical parameters, bone union period, and complications were evaluated from medical records.ResultsThe radiographic and clinical outcomes did not show significant difference between two groups. The average bone union period was 11.7 weeks in group I and 12.1 weeks in group II. The visual analog scale score on the first postoperative day was significantly higher in group I than group II.ConclusionsMedial OWHTO using allogenous cancellous bone graft for medial compartment osteoarthritis of the knee can be considered as an alternative treatment method that provides equivalent radiographic and clinical results of OWHTO using autogenous bone graft and causes less immediate postoperative pain.

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Second-Look Arthroscopic Findings After Open-Wedge High Tibia Osteotomy Focusing on the Posterior Root Tears of the Medial Meniscus

Cited by 64 publications

References 25 publications

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Medial Meniscus Posterior Root Tear: A Comprehensive Review

Comparison of Clinical and Radiologic Results Between Partial Meniscectomy and Refixation of Medial Meniscus Posterior Root Tears: A Minimum 5-Year Follow-up

Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

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