Medial Opening-Wedge High Tibial Osteotomy (MOWHTO) affects the medial compartment positively on arthroscopy and MRI in short term. Middle- to long-term effects are not clear. The purpose was to evaluate the effects of MOWHTO on the meniscus and cartilage of the medial compartment on MRI for up to 9 years.

Methods

Subjects were 24 knees that underwent MOWHTO for osteoarthritis and osteonecrosis, including 5 knees combined microfracture, 7 knees combined with medial meniscus partial resection for flap degenerative injury, and 5 all MMPRT were not treated. We evaluated X-rays and serial MRIs. The MRI was performed pre-operation, early-term (1-2 years), and mid-term (5-9 years) postoperatively. We evaluated the MOCART score, the T2 relaxation times of each cartilage, and the extrusion of the medial meniscus (MME).

Results

The X-ray course was as follows, preoperative %MA 32% mid-term 62%, MPTA 85 degrees before surgery, and 92 degrees in the middle term. The MOCART score was kept from the early to the middle term. The score was the lowest in the combination with MF. ‘Volume score’ was lower in MF and meniscus resection. ‘Subchondral bone score’ was the lowest in the MF group. T2 relaxation times in the medial femoral condyle and tibial plateau decreased statistically (P < .05). In MOWHTO combined with MF, both the femur and tibia tended to deteriorate toward the middle term. There were no statistical differences in MME, while two cases were improved. The amount of MME was 5.9±1.7mm in pre-operation, 6.7±3.4mm in the early term, and 7.3±2.5 mm in the middle term, when a partial meniscectomy was performed. Each MME amount was 3.6±2.1 in pre-operation, 4.9±1.8 in the early term, and 4.3±3.3mm in the middle term, when the meniscus was unresected.

Conclusion

Mid-term MRI images were evaluated. MOWHTO has a positive effect on the medial cartilage and meniscus, but it has not been sufficiently repaired on the MRI. When a meniscectomy was performed, MME tended to progress. Reconstruction of cartilage and meniscus can be expected to improve the long-term evaluation of osteotomy.

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Bone Bridge Technique For Lateral Meniscal Allograft Transplantation – No Difference In Clinical Outcome Compared To The Soft Tissue Technique ePoster Presentation Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM Harry Krishnan, FRCS(Tr&Orth),MEd(ULT), MBBS, BSc (Hons), UNITED KINGDOM Nicole Bausch, MSc physiotherapy and education, UNITED KINGDOM Adam Richard Pilarski, MBBS, MRCS, MBA, BA (hons), UNITED KINGDOM Niall McGoldrick, MB MCh FRCS (Tr & Orth), IRELAND Peter Thompson, MBChB, UNITED KINGDOM Andrew Metcalfe, PhD, UNITED KINGDOM Tim Spalding, FRCS(Orth), UNITED KINGDOM
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Lateral Meniscus Root Tear in ACL-Injured Patients Results In High-Grade Rotatory Knee Laxity: A Quantitative Pivot Shift Analysis ePoster Presentation Bálint Zsidai, MD, SWEDEN Gian Andrea Lucidi, MD, ITALY Ryosuke Kuroda, MD, PhD, JAPAN James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Stefano Zaffagnini, MD, Prof., ITALY Volker Musahl, MD, Prof., UNITED STATES
Clinical Outcomes with Meniscal Repair, Between 2019-2020, Viña del Mar, Chile (Preliminary Study) ePoster Presentation Sergio Patricio González Rouse, MD, MSc, MBA, CHILE Raul Roz, MD, CHILE Horacio Alejandro Carvajal Araya, MD, CHILE
Biological Augmentation May Play A Role In Obtaining Superior Clinical Outcomes In Meniscal Root Repair With Concomitant Anterior Cruciate Ligament Reconstruction ePoster Presentation Lika Dzidzishvili, MD, PhD, SPAIN Irene Isabel López-Torres, MD, PhD, SPAIN David Sáez, MD, SPAIN Antonio Hernández Diez, MD, SPAIN Emilio Calvo, MD, PhD, MBA, SPAIN
Associated Fracture of Spinal Tuberosity with Anterior Root Injury of Lateral Meniscus ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Rami Triki, TUNISIA Mohamed Hedi Ezzine, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver ePoster Presentation Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND
Determinants of Radiologic and Functional Outcomes after Meniscal Repair of Longitudinal Vertical Tears. A Prospective Cohort Study of 78 patients. ePoster Presentation Benjamin Tschopp, MD, SWITZERLAND Robin Martin, MD, SWITZERLAND
Morphological Analysis of Discoid Lateral Meniscus on Magnetic Resonance Imaging Comparing Pre- and Postoperative Images ePoster Presentation Shunya Tsuji, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN Naofumi Hashiguchi, MD,MPH, JAPAN Goki Kamei, MD, PhD, JAPAN Atsuo Nakamae, MD, PhD, JAPAN Nobuo Adachi, MD, PhD, JAPAN
Can Local Anesthesia be Considered as Gold Standard in Knee Arthroscopy? ePoster Presentation Tilemachos Papageorgiou, MD, GREECE Stefanos Christos Papageorgiou, MD, GREECE ILIAS SOTIRIADIS, MD, GREECE Tsoumanis Dimitrios, MD, GREECE Christos D. Papageorgiou, MD, PhD, GREECE
Meniscus Transplants Delay Arthroplasty in Patients Over 50 Years of Age ePoster Presentation Kevin R. Stone, MD, UNITED STATES Ann W. Walgenbach, RN, NP, MSN, UNITED STATES Shadera Slatter, MS, UNITED STATES Thomas J. Turek, PhD, UNITED STATES Caroline Ferguson-Dryden, BA, UNITED STATES Marie Dicker, BASc, UNITED STATES Emma Miltenberger, BS, UNITED STATES Riley Horn, BS, UNITED STATES Haley Cowles, BA, UNITED STATES Vivian Liu, BA, UNITED STATES Stephanie Wu, BS, UNITED STATES Mani Vessal, MA, PhD, UNITED STATES
The Fate of Discoid Lateral Meniscus With and Without Osteochondritis Dissecans of the Lateral Femoral Condyle After Surgery ePoster Presentation Ken Iida, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Yohei Nishida, MD, JAPAN Junsei Takigami, MD, PhD, JAPAN Tomohiro Tomihara, MD, JAPAN Hiroaki Nakamura, MD, PhD, JAPAN
Delaying ACL Reconstruction Increases the Risk of Medial Meniscal Tear ePoster Presentation Julien Erard, MD, FRANCE Nicolas Cance, MD, FRANCE Jobe Shatrov, MD, AUSTRALIA Gaspard Fournier, MD, FRANCE Stanislas Gunst, MD, FRANCE Gianluca Ciolli, MD, ITALY Pasquale Porcelli, MD, ITALY Sebastien Lustig, MD, PhD, Prof., FRANCE Elvire Servien, MD, PhD, Prof., FRANCE
Continuous Vertical Inside-Out Versus Traditional Vertical Inside-Out Meniscal Repair: A Biomechanical Comparison ePoster Presentation José Leonardo Rocha De Faria , MD, MSc, BRAZIL Arthur Paiva Grimaldi Santos, M.Sc., BRAZIL Douglas Mello Pavão, MD, MSc, PhD, BRAZIL Mariana Radulski, Medical Student, BRAZIL Ana Carolina Leal, PhD, BRAZIL Ari Digiácomo Ocampo Moré, PhD, BRAZIL Alan de Paula Mozella, PhD, Prof., BRAZIL Joao ANTONIO MATHEUS GUIMARAES, BRAZIL Robert F. LaPrade, MD, PhD, UNITED STATES Carlos Rodrigo De Mello Roesler, PhD, BRAZIL Rodrigo Salim, MD,PhD, BRAZIL

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Meniscal And Cartilage Changes On MRI 5-9 Years After Medial Opening-Wedge High Tibial Osteotomy

Meniscal And Cartilage Changes On MRI 5-9 Years After Medial Opening-Wedge High Tibial Osteotomy

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Meniscal And Cartilage Changes On MRI 5-9 Years After Medial Opening-Wedge High Tibial Osteotomy

Meniscal And Cartilage Changes On MRI 5-9 Years After Medial Opening-Wedge High Tibial Osteotomy

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