文献类型：期刊文献

英文题名：Meniscal attachment reconstruction combined with high tibial osteotomy in a patient with genu varum and posterior root injury of the lateral meniscus: a case report and brief review of the literature

作者：Hou, Junhu[1,2];Ma, Xuepeng[1];Gao, Jie[3];Zeng, Zhaoyang[1];Xie, Xingwen[1];Li, Ning[1]

第一作者：侯军虎

通信作者：Xie, XW[1];Li, N[1]

机构：[1]Gansu Univ Chinese Med, Lanzhou, Peoples R China;[2]Gansu Univ Chinese Med, Affiliated Hosp, Dept Orthopaed, Lanzhou, Peoples R China;[3]Hosp 83rd Grp Army, Dept Orthopaed, Xinxiang, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Lanzhou, Peoples R China.|[10735]甘肃中医药大学;

年份：2025

卷号：12

外文期刊名：FRONTIERS IN SURGERY

收录：;WOS:【SCI-EXPANDED(收录号:WOS:001659099500001)】；

基金：The author(s) declare financial support was received for the research and/or publication of this article. This research was supported by the Fourth Batch of Science and Technology Plan of Lanzhou in 2023 (No. 2023-4-48), the 2022 Gansu Province Traditional Chinese Medicine Industry Innovation Consortium Project (22ZD6FA021-4), the General Project of Natural Science Foundation of Gansu Province (24JRRA881 and 25JRRA968), and the 2023 Gansu Provincial Higher Education Industry Support Program Project (2023CYZC-57).

语种：英文

外文关键词：high tibial osteotomy; genu varum; lateral meniscus injury; transtibial tunnel pull-out technique; knee preservation treatment; case report

摘要：Rationale: High tibial osteotomy (HTO) is primarily used to treat unicompartmental osteoarthritis. Despite its efficacy, there are strict indications, such as the need for the integrity of the lateral structures, especially the meniscus and cartilage. Here, we report a rare case of a posterior root tear of the lateral meniscus combined with genu varum, demonstrating how reconstructing the posterior root can expand the indications for HTO surgery. Patient concerns: A 58-year-old man complained of "pain in both knees for 5 years, aggravated in the right knee for 1 month." Diagnoses: A preoperative diagnosis of lateral meniscus injury with genu varum was reached. Interventions: Under normal circumstances, this patient would not have been suitable for HTO. However, we reconstructed the lateral meniscus attachment point using the pull-out technique and then performed HTO. Outcomes: Postoperatively, the weightbearing line of the patient's lower limbs was successfully corrected. Lessons: Aggressive repair of damaged lateral compartment structures combined with HTO can expand the population suitable for knee preservation. Key points: This report describes the first case of posterior root injury to the lateral meniscus combined with knee varus deformity. The patient first underwent lateral meniscus root reconstruction using the pull-out technique, followed by a standard HTO surgery, resulting in satisfactory outcomes.