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. 2021 Apr 26;10(5):e1373–e1382. doi: 10.1016/j.eats.2021.01.042

Table 1.

Advantages, Disadvantages, Risks, and Tips Associated With Posterior Root Repair of Medial Meniscus Combined With Valgus Tibial Opening Osteotomy

Advantages Disadvantages Risks Tips
Faster recovery Longer surgical time Confluence of the tibial tunnel and proximal anterior screw The tibial bone tunnel must be exactly on the native footprint of the meniscal root
The release of the MCL for osteotomy favors the medial joint space opening and facilitates the root repair Articular Fracture of the proximal tibia Protect the neurovascular popliteal bundle during tibial osteotomy
Decompression of the medial compartment favors the root healing Keep the lateral cortex of the tibia intact to allow the hinge wedge opening.
In the proximal and anterior orifice of the osteotomy plate, use a screw of shorter length, preventing it from interfering with the perforation of the tibial tunnel to reinsert the meniscal root

MCL, medial collateral ligament.