Evaluation of the bone tunnel position and state of healing on second-look arthroscopy after pullout repair of medial meniscus posterior root tear during open-wedge high tibial osteotomy

Better clinical outcomes and return to sport rates with additional medial meniscus root tear repair in high tibial osteotomy for medial compartmental knee osteoarthritis

“…repair during OWHTO is a reasonable approach, especially for younger individuals, because the primary goal of major treatments for medial compartmental KOA is to protect articular cartilage and delay the progression of KOA [2,3,27]. However, previous clinical studies did not demonstrate that additional MMPRT repair was effective in improving clinical outcomes or radiological outcomes of isolated OWHTO and OWHTO with MMPRT repair [5,20,24,27,29,37,38]. Ke et al [20] reported that concurrent arthroscopic meniscal repair during OWH-TO did not lead to significant clinical benefits, even though an increased rate of meniscal healing was observed.…”

“…Whether patients who return to presymptomatic sports levels have better cartilage conditions after surgery is unknown; therefore, additional studies involving second-look arthroscopy and postoperative MRI examinations are necessary for patients with high sports levels. Finally, positioning the bone tunnel more posteriorly may enhance the rate of meniscal healing [38]. However, the impact of the tibial tunnel position on clinical outcomes and sports return rates is uncertain and needs further investigation.…”

“…Medial meniscus posterior root tears (MMPRTs) are closely associated with varus malalignment and contribute to the acceleration of osteoarthritic changes [8,15,20,36,38]. Several studies have demonstrated that additional MMPRT repair in patients who underwent open-wedge high tibial osteotomy (OWHTO) improved clinical outcomes, cartilage regeneration and MMPRT healing rates [20,25,27,28].…”