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Macek, J; Schroedter, R; Fischerauer, SF.
Combined therapy for radial meniscal tear and varus deformity of the knee joint
ARTHROSKOPIE. 2025; Doi: 10.1007/s00142-025-00785-z
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Co-authors Med Uni Graz
Fischerauer Stefan Franz
Schroedter René
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Abstract:
Varus-aligned leg axes are considered a risk factor for the development of radial tears of the medial meniscus. This case report discusses a treatment approach for radial meniscal lesions combined with a varus leg axis. The case report involves a 44-year-old man who reported persistent medial knee pain in his left leg despite six months of conservative treatment. Further diagnostic evaluation revealed a radial lesion of the medial meniscus along with a pre-existing varus alignment of the left leg. To address both pathologies, a combined approach was chosen: the radial meniscal lesion was treated with a meniscal repair and a medially opening high tibial osteotomy (HTO) was performed. Postoperatively, the patient underwent a six-week period of a complete absence of loading with movement restriction using a knee brace. This was followed by a gradual increase in weight-bearing over six to eight weeks, leading to full weight bearing. After twelve weeks the patient presented with an almost pain-free clinical picture. Correction of both the meniscal lesion and the varus alignment, along with the choice of the repair technique, can have a positive long-term impact on patient outcomes. This approach can facilitate a faster return to daily activities and professional life.

Find related publications in this database (Keywords)
Meniscus repair
Rebar suture technique
Malalignment
Meniscal biomechanics
Meniscus repair
Rebar suture technique
Malalignment
Meniscal biomechanics
High tibial
osteotomy
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