Concurrent Arthroscopic Meniscus Centralization With All-Inside Root Repair During Open-Wedge High Tibial Osteotomy Fails to Enhance Clinical Outcomes in Medial Meniscus Posterior Root Tear

The authors aimed to determine if concurrent arthroscopic meniscus centralization with all-inside root repair during open-wedge high tibial osteotomy (OWHTO) would improve clinical, radiological, and arthroscopic outcomes in patients with medial meniscus posterior root tears compared to isolated OWHTO. Their findings indicated that while the combined procedure reduced medial meniscus extrusion and improved meniscal healing rates, it did not enhance clinical outcomes and was associated with a greater loss of knee flexion, particularly in patients with preoperative hyperflexion.