How to Perform Concomitant Medial Meniscus Pull-Out Repair With Medial Open-Wedge High Tibial Osteotomy Without Technical Failureopen access
- Authors
- Jin, Jin Woo; Kim, Jin Goo; Wang, Joon Ho; Tae, Jungyeun; Kim, Jun Ho; Lee, Byung Hoon; Park, Jun Yong; Lee, Do Kyung
- Issue Date
- May-2022
- Publisher
- Elsevier B.V.
- Citation
- Arthroscopy Techniques, v.11, no.5, pp.e881 - e888
- Indexed
- SCOPUS
- Journal Title
- Arthroscopy Techniques
- Volume
- 11
- Number
- 5
- Start Page
- e881
- End Page
- e888
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/138617
- DOI
- 10.1016/j.eats.2022.01.006
- ISSN
- 2212-6287
- Abstract
- Varus alignment of the knee joint (varus >5°) is known as a poor prognostic factor for medial meniscus root repair, and alignment correction is recommended in patients with varus deformity and medial meniscus root tears. However, simultaneous medial meniscus pull-out repair and high tibial osteotomy are technically demanding procedures due to the long surgical time, poor visualization, and breaking of the pull-out sutures during high tibial osteotomy procedures. In the present Technical Note, we will introduce a surgical method to perform 2 procedures simultaneously without technical difficulty. The main surgical techniques are as follows. (1) Release the superficial medial collateral ligament before arthroscopic medial meniscus pull-out repair, which secures sufficient working space and visualization. Therefore, the operation time could also be reduced by performing the arthroscopic procedure with the anterior portal. (2) Protect the pull-out sutures with an ENDOBUTTON reamer, which prevents pull-out sutures from breaking during the high tibial osteotomy procedure.
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