Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel

Shu Takagawa; Ryohei Takeuchi; Naomi Kobayashi; Yohei Yukizawa; Kunihito Hirotomi; Shota Higashihira; Yutaka Inaba

doi:10.1016/j.eats.2024.103064

Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel

Arthrosc Tech. 2024 May 28;13(10):103064. doi: 10.1016/j.eats.2024.103064. eCollection 2024 Oct.

Authors

Shu Takagawa¹, Ryohei Takeuchi², Naomi Kobayashi¹, Yohei Yukizawa¹, Kunihito Hirotomi¹, Shota Higashihira¹, Yutaka Inaba³

Affiliations

¹ Department of Orthopaedic Surgery, Yokohama City University Medical Centre, Yokohama, Japan.
² Department of Orthopaedic Surgery, Yokohama Sekishinkai Hospital, Yokohama, Japan.
³ Department of Orthopaedic Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Abstract

Meniscal posterior root tears reportedly result in accelerated cartilage degeneration and spontaneous insufficiency fractures of the knee. While meniscus repair combined with open-wedge high tibial osteotomy is an optional method, the healing rate is not sufficiently high. Therefore, this Technical Note describes a technique for meniscal reconstruction combined with open-wedge high tibial osteotomy that may offer improvements in meniscal healing rates and clinical results.