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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
Web of Science
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- Co-authors Med Uni Graz
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Fischerauer Stefan Franz
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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.
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Meniscus repair
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Rebar suture technique
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Malalignment
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Meniscal biomechanics
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Meniscus repair
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Rebar suture technique
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Malalignment
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Meniscal biomechanics
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High tibial
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osteotomy