ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1672154
This article is part of the Research TopicBeyond Standardization in Knee Surgery: Time to Think PersonalizedView all 4 articles
Repairing the medial meniscus posterior root during open-wedge high tibial osteotomy does not significantly affect clinical outcomes
Provisionally accepted
- The Third Hospital of Hebei Medical University, Shijiazhuang, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Abstract Objectives: This study aimed to evaluate the effectiveness of medial meniscus posterior root tear (MMPRT) repair during open-wedge high tibial osteotomy (OWHTO) by investigating MMPRT healing and clinical outcomes. It also aimed to explore the impact of lower limb alignment correction on MMPRT healing in unrepaired cases. Methods: A total of 157 patients (68 males and 89 females) were included, with an average age of 57.0 ± 6.66 years and an average postoperative follow-up duration of 22.1 ± 2.92 months, who underwent OWHTO followed by second-look arthroscopy. Patients were divided into two groups: the OWHTO with MMPRT repair group (n=82) and the OWHTO-only group (n=75). Each group was further divided into Fujisawa subgroup and neutral subgroups to assess the healing of MMPRT and clinical outcomes. Results: The overall MMPRT healing outcomes in the OWHTO with MMPRT repair group were similar to the OWHTO-only group. Cartilage damage showed no intergroup differences. Functional improvements were equivalent between groups. Subgroup analyses revealed differential outcomes: Fujisawa subgroup exhibits superior healing in isolated OWHTO, but not in combined procedures. Conclusion: Mid-term clinical outcomes were comparable between OWHTO combined with MMPRT pull-out repair and isolated OWHTO. For patients undergoing isolated OWHTO, mechanical axis correction targeting the Fujisawa point is significantly more conducive to MMPRT healing than neutral alignment. Consider prioritizing MMPRT repair for young patients or those with high activity demands. When MMPRT repair is not performed, it is recommended to target the correction of knee alignment to the Fujisawa point.
Keywords: Medial meniscus posterior root tear, Open-wedge high tibial osteotomy, Cartilage damage, limb alignment, clinical efficacy
Received: 24 Jul 2025; Accepted: 22 Sep 2025.
Copyright: © 2025 Dong, Kong, Niu and Dong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jiangtao Dong, djt@hebmu.edu.cn
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.