Simultaneous Meniscal Repair and Temporary Guided Growth Using a Tension Band Plate to Correct Alignment in Pediatric Discoid Lateral Meniscus Patients With Valgus Knee.
Yusuke HashimotoKeisuke NakagawaKazuya NishinoTomohiro TomiharaDaichi TakahashiHiroaki NakamuraHiroshi KatsudaPublished in: Arthroscopy techniques (2024)
Meniscal stabilization with saucerization has recently been recommended for discoid lateral meniscus (DLM) to preserve the meniscus shape and prevent the progression of osteoarthritis. However, axial alignment of the lower limb causes a significant valgus change after arthroscopic partial meniscectomy and can lead to progressive lateral osteoarthritic changes. Thus, valgus knees in patients with DLM are a suspected predictive factor for poor outcomes after DLM surgery. Valgus malalignment in pediatric patients can be corrected by temporarily tethering one side of the open physis using implant-mediated guided growth to generate differential growth in the coronal plane. This Technical Note describes simultaneous arthroscopic meniscal surgery and temporary hemiepiphysiodesis to treat DLM with valgus deformities to reduce the risk of future chondral damage to the lateral knee compartment.
Keyphrases
- anterior cruciate ligament reconstruction
- minimally invasive
- anterior cruciate ligament
- lower limb
- coronary artery bypass
- multiple sclerosis
- pulmonary embolism
- knee osteoarthritis
- total knee arthroplasty
- acute coronary syndrome
- young adults
- atrial fibrillation
- percutaneous coronary intervention
- current status
- childhood cancer