Combined Transtibial Medial Meniscus Posterior Root Pullout Repair and Medial Open Wedge High Tibial Osteotomy

Medial meniscus posterior root tears (MMPRTs) are a risk factor for knee osteoarthritis because of the destruction of the meniscal hoop structure. Medial open wedge high tibial osteotomy can be combined with MMPRT pullout repair to reduce pressure on the medial compartment. However, when these techn...

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Bibliographic Details
Main Authors: Tsuneari Takahashi, M.D., Ph.D., Mikiko Handa, M.D., Hiroshi Kurabayashi, M.D., Katsushi Takeshita, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001616
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Summary:Medial meniscus posterior root tears (MMPRTs) are a risk factor for knee osteoarthritis because of the destruction of the meniscal hoop structure. Medial open wedge high tibial osteotomy can be combined with MMPRT pullout repair to reduce pressure on the medial compartment. However, when these techniques are performed simultaneously, the locking screws of the plate interfere with the tibial bone tunnel, resulting in suture damage or nonanatomic MMPRT repair. In this Technical Note, we describe a surgical technique for transtibial medial meniscus posterior root pullout repair fixed with a bioabsorbable screw before osteotomy for knee osteoarthritis with MMPRT without interference with the screws of medial open wedge high tibial osteotomy.
ISSN:2212-6287