Repair of medial meniscus posterior root tear is effective for root healing and cartilage regeneration in opening wedge high tibial osteotomy
Purpose This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO). Methods This retrospective study included 80 patients who underwent...
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| Published in | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 31; no. 12; pp. 5799 - 5811 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.12.2023
Springer‐Verlag John Wiley & Sons, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0942-2056 1433-7347 1433-7347 |
| DOI | 10.1007/s00167-023-07637-z |
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| Abstract | Purpose
This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO).
Methods
This retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair (
n
= 40) and OWHTO alone (
n
= 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC.
Results
The overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group (
P
< 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group (
P
= 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group (
P
< 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures.
Conclusions
MMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary.
Level of evidence
III, Retrospective cohort study. |
|---|---|
| AbstractList | This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO).PURPOSEThis study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO).This retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair (n = 40) and OWHTO alone (n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC.METHODSThis retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair (n = 40) and OWHTO alone (n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC.The overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group (P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group (P = 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group (P < 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures.RESULTSThe overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group (P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group (P = 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group (P < 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures.MMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary.CONCLUSIONSMMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary.III, Retrospective cohort study.LEVEL OF EVIDENCEIII, Retrospective cohort study. This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO). This retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair (n = 40) and OWHTO alone (n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC. The overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group (P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group (P = 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group (P < 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures. MMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary. III, Retrospective cohort study. Purpose This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO). Methods This retrospective study included 80 patients who underwent OWHTO and subsequent second‐look arthroscopy. The patients were divided into OWHTO‐with‐MMPRT‐repair (n = 40) and OWHTO alone (n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over‐ and under‐corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO‐with‐MMPRT‐repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC. Results The overall healing rate of the MMPRT was higher in the OWHTO‐with‐MMPRT‐repair group than that in the OWHTO alone group (P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over‐correction and under‐correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under‐correction group than that in the over‐correction group (P = 0.03). Cartilage regeneration of the OWHTO‐with‐MMPRT‐repair group was superior to that of the OWHTO alone group (P < 0.05). The IKDC subjective scores of the OWHTO‐with‐MMPRT‐repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures. Conclusions MMPRT repair during OWHTO might improve MMPRT healing, even with under‐correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short‐term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary. Level of evidence III, Retrospective cohort study. PurposeThis study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO).MethodsThis retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair (n = 40) and OWHTO alone (n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC.ResultsThe overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group (P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group (P = 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group (P < 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures.ConclusionsMMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary.Level of evidenceIII, Retrospective cohort study. Purpose This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and clinical outcomes in opening wedge high tibial osteotomy (OWHTO). Methods This retrospective study included 80 patients who underwent OWHTO and subsequent second-look arthroscopy. The patients were divided into OWHTO-with-MMPRT-repair ( n = 40) and OWHTO alone ( n = 40) groups, and the healing rates (complete/partial/failure) were compared. Each group was further divided into over- and under-corrected subgroups to compare healing rates. The International Cartilage Repair Society (ICRS) grade, cartilage defect size, Koshino stage, ICRS cartilage repair assessment score of the medial femoral condyle (MFC), and International Knee Documentation Committee (IKDC) scores between the OWHTO-with-MMPRT-repair and OWHTO alone groups were compared according to whether microfracture was performed on the MFC. Results The overall healing rate of the MMPRT was higher in the OWHTO-with-MMPRT-repair group than that in the OWHTO alone group ( P < 0.001). In addition, in the subgroup analysis, no difference in the MMPRT healing rate between the over-correction and under-correction groups when MMPRT repair was performed (n.s). In contrast, without MMPRT repair, the healing rate was lower in the under-correction group than that in the over-correction group ( P = 0.03). Cartilage regeneration of the OWHTO-with-MMPRT-repair group was superior to that of the OWHTO alone group ( P < 0.05). The IKDC subjective scores of the OWHTO-with-MMPRT-repair and OWHTO alone groups were 34.5 and 33.1 before surgery (n.s) and 50 and 47.2 at one year after surgery, respectively (n.s). These differences between the two groups for cartilage regeneration and IKDC subjective scores showed the same pattern regardless of microfractures. Conclusions MMPRT repair during OWHTO might improve MMPRT healing, even with under-correction, and cartilage regeneration of MFC, regardless of microfracture. However, OWHTO with MMPRT repair might not improve short-term clinical outcomes compared to OWHTO alone. Further randomized clinical trials are necessary. Level of evidence III, Retrospective cohort study. |
| Author | Kang, Seung-Baik Lee, Ji Han D’Lima, Darryl D. Chang, Moon Jong Chang, Chong Bum Lee, Jae Hee Choi, Yun Seong Kim, Tae Woo |
| Author_xml | – sequence: 1 givenname: Yun Seong surname: Choi fullname: Choi, Yun Seong organization: Department of Orthopaedic Surgery, Veterans Health Service Medical Center – sequence: 2 givenname: Moon Jong surname: Chang fullname: Chang, Moon Jong organization: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Department of Orthopedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center – sequence: 3 givenname: Ji Han surname: Lee fullname: Lee, Ji Han organization: Department of Orthopaedic Surgery, Seoul National University Hospital – sequence: 4 givenname: Jae Hee surname: Lee fullname: Lee, Jae Hee organization: Department of Orthopaedic Surgery, Veterans Health Service Medical Center – sequence: 5 givenname: Darryl D. surname: D’Lima fullname: D’Lima, Darryl D. organization: Shiley Center for Orthopaedic Research and Education at Scripps Clinic – sequence: 6 givenname: Tae Woo surname: Kim fullname: Kim, Tae Woo organization: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Department of Orthopedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center – sequence: 7 givenname: Chong Bum surname: Chang fullname: Chang, Chong Bum organization: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Department of Orthopedic Surgery, Seoul National University Bundang Hospital – sequence: 8 givenname: Seung-Baik orcidid: 0000-0002-1184-4482 surname: Kang fullname: Kang, Seung-Baik email: ossbkang@gmail.com organization: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Department of Orthopedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37940662$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s00402_024_05671_1 crossref_primary_10_1002_ksa_12478 crossref_primary_10_1002_ksa_12520 crossref_primary_10_1016_j_arthro_2024_06_039 crossref_primary_10_1038_s41598_025_94965_4 crossref_primary_10_1007_s12178_025_09946_x crossref_primary_10_1016_j_arthro_2024_08_027 crossref_primary_10_1016_j_eats_2024_103155 crossref_primary_10_1002_jeo2_70007 crossref_primary_10_1002_ksa_12180 crossref_primary_10_1016_j_eats_2024_102966 crossref_primary_10_1016_j_otsr_2025_104179 crossref_primary_10_1186_s13018_025_05519_3 |
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| Copyright | The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. 2023 European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). |
| Copyright_xml | – notice: The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. – notice: 2023 European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) – notice: 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). |
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| ISSN | 0942-2056 1433-7347 |
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| Issue | 12 |
| Keywords | Cartilage regeneration Opening wedge high tibial osteotomy Root repair Medial meniscus posterior root tear |
| Language | English |
| License | http://onlinelibrary.wiley.com/termsAndConditions#vor 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). |
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| Notes | Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self‐archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Copyright comment Yun Seong Choi and Moon Jong Chang contributed equally to this work as first authors. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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| PublicationDate | 20231200 December 2023 2023-12-00 2023-Dec 20231201 |
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| PublicationPlace | Berlin/Heidelberg |
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| PublicationTitle | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| PublicationTitleAbbrev | Knee Surg Sports Traumatol Arthrosc |
| PublicationTitleAlternate | Knee Surg Sports Traumatol Arthrosc |
| PublicationYear | 2023 |
| Publisher | Springer Berlin Heidelberg Springer‐Verlag John Wiley & Sons, Inc |
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| References_xml | – volume: 16 start-page: 66 year: 2021 ident: CR19 article-title: Difference in the early postoperative change of the joint line convergence angle between opening wedge and closed wedge high tibial osteotomies publication-title: J Orthop Surg Res doi: 10.1186/s13018-021-02214-x – volume: 23 start-page: 1093 year: 2022 ident: CR35 article-title: Biomechanical assessment of disease outcome in surgical interventions for medial meniscal posterior root tears: a finite element analysis publication-title: BMC Musculoskelet Disord doi: 10.1186/s12891-022-06069-z – volume: 10 start-page: 585 year: 1979 end-page: 608 ident: CR20 article-title: The effect of high tibial osteotomy on osteoarthritis of the knee. an arthroscopic study of 54 knee joints publication-title: Orthop Clin North Am doi: 10.1016/S0030-5898(20)30753-7 – volume: 10 start-page: 229 year: 2003 end-page: 236 ident: CR23 article-title: Regeneration of degenerated articular cartilage after high tibial valgus osteotomy for medial compartmental osteoarthritis of the knee publication-title: Knee doi: 10.1016/S0968-0160(03)00005-X – volume: 12 start-page: 8059 year: 2020 end-page: 8066 ident: CR16 article-title: A digital method of measuring cartilage defects under an arthroscope publication-title: Am J Transl Res – volume: 85-A start-page: 58 issue: Suppl 2 year: 2003 end-page: 69 ident: CR22 article-title: Evaluation of cartilage injuries and repair publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200300002-00008 – volume: 23 start-page: 925 year: 2016 end-page: 935 ident: CR13 article-title: How accurately does high tibial osteotomy correct the mechanical axis of an arthritic varus knee? a systematic review publication-title: Knee doi: 10.1016/j.knee.2016.10.001 – volume: 27 start-page: 915 year: 2020 end-page: 922 ident: CR33 article-title: Comparison of the outcomes between two different target points after open wedge high tibial osteotomy: the Fujisawa point versus the lateral tibial spine publication-title: Knee doi: 10.1016/j.knee.2020.01.007 – volume: 14 start-page: 227 year: 2022 end-page: 235 ident: CR1 article-title: Prognostic factors of mid- to long-term clinical outcomes after arthroscopic partial meniscectomy for medial meniscal tears publication-title: Clin Orthop Surg doi: 10.4055/cios20185 – volume: 7 start-page: e755 year: 2018 end-page: e761 ident: CR5 article-title: Suture anchor repair for a medial meniscus posterior root tear combined with arthroscopic meniscal centralization and open wedge high tibial osteotomy publication-title: Arthrosc Tech doi: 10.1016/j.eats.2018.03.012 – volume: 29 start-page: 1258 year: 2021 end-page: 1268 ident: CR7 article-title: Remodified Mason-Allen suture technique concomitant with high tibial osteotomy for medial meniscus posterior root tears improved the healing of the repaired root and suppressed osteoarthritis progression publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-020-06151-w – volume: 32 start-page: 952 year: 2008 ident: CR15 article-title: What is a surgical complication? publication-title: World J Surg doi: 10.1007/s00268-008-9563-3 – volume: 27 start-page: 3374 year: 2019 end-page: 3380 ident: CR24 article-title: ACL degeneration after an excessive increase in the medial proximal tibial angle with medial open wedge high tibial osteotomy publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-019-05354-0 – volume: 29 start-page: 23094990211049569 year: 2021 ident: CR4 article-title: Comparison of two simple stitches and modified Mason-Allen suture for medial meniscus posterior root tear based on the progression of meniscal posterior extrusion: a retrospective cohort study publication-title: J Orthop Surg (Hong Kong) doi: 10.1177/23094990211049569 – volume: 5 start-page: e859 year: 2023 end-page: e865 ident: CR27 article-title: International knee documentation committee (IKDC) is the most responsive patient reported outcome measure after meniscal surgery publication-title: Arthrosc Sports Med Rehabil doi: 10.1016/j.asmr.2023.02.005 – volume: 49 start-page: 193 year: 2021 end-page: 199 ident: CR28 article-title: The clinically important difference and patient acceptable symptomatic state for commonly used patient-reported outcomes after knee cartilage repair publication-title: Am J Sports Med doi: 10.1177/0363546520969883 – volume: 34 start-page: 57 year: 2021 end-page: 66 ident: CR11 article-title: Comparison of the radiologic, arthroscopic, and clinical outcomes between repaired versus unrepaired medial meniscus posterior horn root tear during open wedge high tibial osteotomy publication-title: J Knee Surg doi: 10.1055/s-0039-1692992 – volume: 10 start-page: e1017 year: 2021 end-page: e1024 ident: CR3 article-title: Arthroscopic transtibial pull-out repair of medial meniscus posterior root tear with a whip running suture technique publication-title: Arthrosc Tech doi: 10.1016/j.eats.2020.11.016 – volume: 150 start-page: 368 year: 2012 end-page: 373 ident: CR31 article-title: Precision in the planning of open wedge HTO publication-title: Z Orthop Unfall – volume: 29 start-page: 226 year: 2013 end-page: 231 ident: CR6 article-title: Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus publication-title: Arthroscopy doi: 10.1016/j.arthro.2012.08.027 – volume: 35 start-page: 2898 year: 2019 end-page: 2908.e2891 ident: CR25 article-title: Comparison of clinical and radiologic outcomes between normal and overcorrected medial proximal tibial angle groups after open-wedge high tibial osteotomy publication-title: Arthroscopy doi: 10.1016/j.arthro.2019.04.030 – volume: 28 start-page: 2309499019888836 year: 2020 ident: CR9 article-title: Second-look arthroscopic findings after medial open-wedge high tibial osteotomy combined with all-inside repair of medial meniscus posterior root tears publication-title: J Orthop Surg (Hong Kong) doi: 10.1177/2309499019888836 – volume: 30 start-page: 34 year: 2018 end-page: 41 ident: CR10 article-title: Clinical and radiological results with second-look arthroscopic findings after open wedge high tibial osteotomy without arthroscopic procedures for medial meniscal root tears publication-title: Knee Surg Relat Res doi: 10.5792/ksrr.17.035 – volume: 36 start-page: 2466 year: 2020 end-page: 2475 ident: CR8 article-title: Outcomes of medial meniscal posterior root repair during proximal tibial osteotomy: is root repair beneficial? publication-title: Arthroscopy doi: 10.1016/j.arthro.2020.04.038 – volume: 28 start-page: 491 year: 2020 end-page: 499 ident: CR14 article-title: Meniscal root injuries publication-title: J Am Acad Orthop Surg doi: 10.5435/JAAOS-D-19-00102 – volume: 39 start-page: 99 year: 2011 end-page: 107 ident: CR21 article-title: Second-look arthroscopic findings after repairs of posterior root tears of the medial meniscus publication-title: Am J Sports Med doi: 10.1177/0363546510382225 – volume: 25 start-page: 910 year: 2017 end-page: 917 ident: CR32 article-title: Radiological outcomes in a randomized trial comparing opening wedge and closing wedge techniques of high tibial osteotomy publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-015-3817-z – volume: 8 start-page: e655 year: 2019 end-page: e662 ident: CR18 article-title: Distal tibial tuberosity arc osteotomy in open-wedge proximal tibial osteotomy to prevent patella infra publication-title: Arthrosc Tech doi: 10.1016/j.eats.2019.02.011 – volume: 21 start-page: 654 year: 2013 end-page: 657 ident: CR17 article-title: Meniscus root refixation technique using a modified Mason-Allen stitch publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-012-1992-8 – volume: 38 start-page: 1547 year: 2022 end-page: 1554 ident: CR30 article-title: Insufficient correction and preoperative medial tightness increases the risk of varus recurrence in open-wedge high tibial osteotomy publication-title: Arthroscopy doi: 10.1016/j.arthro.2021.09.028 – volume: 55 start-page: 397 year: 2021 end-page: 404 ident: CR12 article-title: Simple medial meniscus posterior horn root repair using an all-inside meniscal repair device combined with high tibial osteotomy to maintain joint-space width in a patient with a repairable tear publication-title: Indian J Orthop doi: 10.1007/s43465-020-00234-z – volume: 29 start-page: 955 year: 2021 end-page: 965 ident: CR2 article-title: Concurrent arthroscopic meniscal repair during open-wedge high tibial osteotomy is not clinically beneficial for medial meniscus posterior root tears publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-020-06055-9 – volume: 16 start-page: 494 year: 1957 end-page: 502 ident: CR26 article-title: Radiological assessment of osteo-arthrosis publication-title: Ann Rheum Dis doi: 10.1136/ard.16.4.494 – volume: 8 start-page: 68 year: 2021 ident: CR29 article-title: The difficulty of continuing sports activities after open-wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2-year-minimum follow-up publication-title: J Exp Orthop doi: 10.1186/s40634-021-00385-4 – year: 2022 ident: CR34 article-title: Medial meniscus posterior root repair restores contact pressure and contact area to its native state even after opening-wedge high tibial osteotomy: a cadaveric biomechanical study publication-title: Arthroscopy doi: 10.1016/j.arthro.2022.09.009 – volume: 10 start-page: e1017 year: 2021 end-page: e1024 article-title: Arthroscopic transtibial pull‐out repair of medial meniscus posterior root tear with a whip running suture technique publication-title: Arthrosc Tech – volume: 8 start-page: e655 year: 2019 end-page: e662 article-title: Distal tibial tuberosity arc osteotomy in open‐wedge proximal tibial osteotomy to prevent patella infra publication-title: Arthrosc Tech – volume: 49 start-page: 193 year: 2021 end-page: 199 article-title: The clinically important difference and patient acceptable symptomatic state for commonly used patient‐reported outcomes after knee cartilage repair publication-title: Am J Sports Med – volume: 21 start-page: 654 year: 2013 end-page: 657 article-title: Meniscus root refixation technique using a modified Mason‐Allen stitch publication-title: Knee Surg Sports Traumatol Arthrosc – volume: 39 start-page: 99 year: 2011 end-page: 107 article-title: Second‐look arthroscopic findings after repairs of posterior root tears of the medial meniscus publication-title: Am J Sports Med – volume: 29 start-page: 1258 year: 2021 end-page: 1268 article-title: Remodified Mason‐Allen suture technique concomitant with high tibial osteotomy for medial meniscus posterior root tears improved the healing of the repaired root and suppressed osteoarthritis progression publication-title: Knee Surg Sports Traumatol Arthrosc – volume: 27 start-page: 3374 year: 2019 end-page: 3380 article-title: ACL degeneration after an excessive increase in the medial proximal tibial angle with medial open wedge high tibial osteotomy publication-title: Knee Surg Sports Traumatol Arthrosc – volume: 5 start-page: e859 year: 2023 end-page: e865 article-title: International knee documentation committee (IKDC) is the most responsive patient reported outcome measure after meniscal surgery publication-title: Arthrosc Sports Med Rehabil – volume: 23 start-page: 1093 year: 2022 article-title: Biomechanical assessment of disease outcome in surgical interventions for medial meniscal posterior root tears: a finite element analysis publication-title: BMC Musculoskelet Disord – volume: 28 start-page: 2309499019888836 year: 2020 article-title: Second‐look arthroscopic findings after medial open‐wedge high tibial osteotomy combined with all‐inside repair of medial meniscus posterior root tears publication-title: J Orthop Surg (Hong Kong) – volume: 7 start-page: e755 year: 2018 end-page: e761 article-title: Suture anchor repair for a medial meniscus posterior root tear combined with arthroscopic meniscal centralization and open wedge high tibial osteotomy publication-title: Arthrosc Tech – volume: 85‐A start-page: 58 issue: Suppl 2 year: 2003 end-page: 69 article-title: Evaluation of cartilage injuries and repair publication-title: J Bone Joint Surg Am – volume: 36 start-page: 2466 year: 2020 end-page: 2475 article-title: Outcomes of medial meniscal posterior root repair during proximal tibial osteotomy: is root repair beneficial? publication-title: Arthroscopy – volume: 29 start-page: 955 year: 2021 end-page: 965 article-title: Concurrent arthroscopic meniscal repair during open‐wedge high tibial osteotomy is not clinically beneficial for medial meniscus posterior root tears publication-title: Knee Surg Sports Traumatol Arthrosc – volume: 16 start-page: 494 year: 1957 end-page: 502 article-title: Radiological assessment of osteo‐arthrosis publication-title: Ann Rheum Dis – volume: 29 start-page: 226 year: 2013 end-page: 231 article-title: Second‐look arthroscopic findings after open‐wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus publication-title: Arthroscopy – volume: 10 start-page: 585 year: 1979 end-page: 608 article-title: The effect of high tibial osteotomy on osteoarthritis of the knee. an arthroscopic study of 54 knee joints publication-title: Orthop Clin North Am – volume: 25 start-page: 910 year: 2017 end-page: 917 article-title: Radiological outcomes in a randomized trial comparing opening wedge and closing wedge techniques of high tibial osteotomy publication-title: Knee Surg Sports Traumatol Arthrosc – volume: 14 start-page: 227 year: 2022 end-page: 235 article-title: Prognostic factors of mid‐ to long‐term clinical outcomes after arthroscopic partial meniscectomy for medial meniscal tears publication-title: Clin Orthop Surg – volume: 32 start-page: 952 year: 2008 article-title: What is a surgical complication? publication-title: World J Surg – volume: 38 start-page: 1547 year: 2022 end-page: 1554 article-title: Insufficient correction and preoperative medial tightness increases the risk of varus recurrence in open‐wedge high tibial osteotomy publication-title: Arthroscopy – volume: 55 start-page: 397 year: 2021 end-page: 404 article-title: Simple medial meniscus posterior horn root repair using an all‐inside meniscal repair device combined with high tibial osteotomy to maintain joint‐space width in a patient with a repairable tear publication-title: Indian J Orthop – volume: 23 start-page: 925 year: 2016 end-page: 935 article-title: How accurately does high tibial osteotomy correct the mechanical axis of an arthritic varus knee? a systematic review publication-title: Knee – volume: 10 start-page: 229 year: 2003 end-page: 236 article-title: Regeneration of degenerated articular cartilage after high tibial valgus osteotomy for medial compartmental osteoarthritis of the knee publication-title: Knee – volume: 16 start-page: 66 year: 2021 article-title: Difference in the early postoperative change of the joint line convergence angle between opening wedge and closed wedge high tibial osteotomies publication-title: J Orthop Surg Res – volume: 34 start-page: 57 year: 2021 end-page: 66 article-title: Comparison of the radiologic, arthroscopic, and clinical outcomes between repaired versus unrepaired medial meniscus posterior horn root tear during open wedge high tibial osteotomy publication-title: J Knee Surg – volume: 150 start-page: 368 year: 2012 end-page: 373 article-title: Precision in the planning of open wedge HTO publication-title: Z Orthop Unfall – year: 2022 – volume: 29 start-page: 23094990211049569 year: 2021 article-title: Comparison of two simple stitches and modified Mason‐Allen suture for medial meniscus posterior root tear based on the progression of meniscal posterior extrusion: a retrospective cohort study publication-title: J Orthop Surg (Hong Kong) – volume: 27 start-page: 915 year: 2020 end-page: 922 article-title: Comparison of the outcomes between two different target points after open wedge high tibial osteotomy: the Fujisawa point versus the lateral tibial spine publication-title: Knee – volume: 30 start-page: 34 year: 2018 end-page: 41 article-title: Clinical and radiological results with second‐look arthroscopic findings after open wedge high tibial osteotomy without arthroscopic procedures for medial meniscal root tears publication-title: Knee Surg Relat Res – volume: 12 start-page: 8059 year: 2020 end-page: 8066 article-title: A digital method of measuring cartilage defects under an arthroscope publication-title: Am J Transl Res – volume: 35 start-page: 2898 year: 2019 end-page: 2908.e2891 article-title: Comparison of clinical and radiologic outcomes between normal and overcorrected medial proximal tibial angle groups after open‐wedge high tibial osteotomy publication-title: Arthroscopy – volume: 8 start-page: 68 year: 2021 article-title: The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up publication-title: J Exp Orthop – volume: 28 start-page: 491 year: 2020 end-page: 499 article-title: Meniscal root injuries publication-title: J Am Acad Orthop Surg – ident: e_1_2_11_8_1 doi: 10.1007/s00167‐020‐06151‐w – ident: e_1_2_11_14_1 doi: 10.1016/j.knee.2016.10.001 – ident: e_1_2_11_34_1 doi: 10.1016/j.knee.2020.01.007 – ident: e_1_2_11_12_1 doi: 10.1055/s‐0039‐1692992 – ident: e_1_2_11_27_1 doi: 10.1136/ard.16.4.494 – ident: e_1_2_11_15_1 doi: 10.5435/JAAOS‐D‐19‐00102 – ident: e_1_2_11_13_1 doi: 10.1007/s43465‐020‐00234‐z – ident: e_1_2_11_18_1 doi: 10.1007/s00167‐012‐1992‐8 – ident: e_1_2_11_29_1 doi: 10.1177/0363546520969883 – ident: e_1_2_11_11_1 doi: 10.5792/ksrr.17.035 – ident: 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This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage... This study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage regeneration, and... PurposeThis study aimed to determine whether the repair of a medial meniscus posterior root tear (MMPRT) is effective for MMPRT healing, cartilage... |
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| SubjectTerms | Arthroscopy Cartilage Cartilage regeneration Clinical outcomes Clinical trials Fractures Healing Knee Medial meniscus posterior root tear Medicine Medicine & Public Health Meniscus Microfracture Opening wedge high tibial osteotomy Orthopedics Osteotomy Patients Regeneration Root repair Sports Medicine Subgroups Surgery |
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| Title | Repair of medial meniscus posterior root tear is effective for root healing and cartilage regeneration in opening wedge high tibial osteotomy |
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