Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair

Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair Publisher

Vosoughi F ; Aminizadeh S ; Seyedtabaei S M M ; Salkhori O ; Tollefson L V ; Laprade R F

Source: Arthroscopy Techniques Published:2026

Abstract

Medial meniscus posterior root tears and anterior cruciate ligament (ACL) injuries disrupt knee biomechanics and accelerate joint degeneration, particularly in the presence of varus malalignment. This technical note describes a combined surgical approach that integrates medial meniscus posterior root repair, ACL reconstruction, and high tibial osteotomy (HTO) to restore joint stability, optimize load distribution, and prevent osteoarthritis progression. The procedure is performed arthroscopically using anteromedial and anterolateral portals. Meniscal root and ACL footprints are prepared, and sutures are passed using a loop-stitch technique. A biplanar high tibial osteotomy is then performed distal to the guide pins to correct varus alignment, with plate fixation positioned posteriorly and distally for optimal stability. The meniscal root tunnel is drilled at a 45° angle, followed by ACL tunnel placement and graft fixation using interference screws and a suspensory button system. This combined approach enables simultaneous restoration of meniscal function, knee stability, and mechanical alignment, potentially improving long-term outcomes compared with isolated procedures. © 2026 The Author(s). Arthroscopy Techniques published by Wiley Periodicals LLC on behalf of the Arthroscopy Association of North America.

Style	Citing Format
MLA	Vosoughi F, et al.. "Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair." Arthroscopy Techniques, vol. 15, no. 9, 2026, pp. -.
APA	Vosoughi F, Aminizadeh S, Seyedtabaei S M M, Salkhori O, Tollefson L V, Laprade R F (2026). Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair. Arthroscopy Techniques, 15(9), -.
Chicago	Vosoughi F, Aminizadeh S, Seyedtabaei S M M, Salkhori O, Tollefson L V, Laprade R F. "Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair." Arthroscopy Techniques 15, no. 9 (2026): -.
Harvard	Vosoughi F et al. (2026) 'Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair', Arthroscopy Techniques, 15(9), pp. -.
Vancouver	Vosoughi F, Aminizadeh S, Seyedtabaei S M M, Salkhori O, Tollefson L V, Laprade R F. Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair. Arthroscopy Techniques. 2026;15(9):-.
BibTex	@article{ author = {Vosoughi F and Aminizadeh S and Seyedtabaei S M M and Salkhori O and Tollefson L V and Laprade R F}, title = {Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair}, journal = {Arthroscopy Techniques}, volume = {15}, number = {9}, pages = {-}, year = {2026} }
RIS	TY - JOUR AU - Vosoughi F AU - Aminizadeh S AU - Seyedtabaei S M M AU - Salkhori O AU - Tollefson L V AU - Laprade R F TI - Concurrent High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Medial Meniscus Posterior Root Repair JO - Arthroscopy Techniques VL - 15 IS - 9 SP - EP - PY - 2026 ER -

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