2023 Annual Meeting Knee Access Pass-Opinion: The Degenerative Meniscus in a Varus Knee: Alignment Is Key, Do the Osteotomy!

Opinion: The Degenerative Meniscus in a Varus Knee: Alignment Is Key, Do the Osteotomy!

Video Transcription

Video Summary

Fernando Hernandez from Mexico discusses his experience with high tibial osteotomy (HTO) combined with meniscal root repairs. He reviews studies showing mixed views on HTO's necessity but emphasizes that malalignment causes most repair failures. HTO can offload knee stress similarly to meniscus function, protecting repairs. Successful treatment requires precise meniscal repair plus careful alignment correction, using methods like the Fukuzawa point and rigid intraoperative measurement tools. Techniques to control osteotomy slope and protect the hinge reduce complications. Case examples highlight good long-term pain relief and function even in imperfect corrections. Overall, alignment correction via osteotomy is crucial for knee preservation and meniscal healing.

Asset Caption

Fernando Hernandez-Perez, M.D.

Keywords

high tibial osteotomy

meniscal root repair

knee malalignment

osteotomy techniques

knee preservation