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<p>Varus-aligned leg axes are considered a&#xa0;risk factor for the development of radial tears of the medial meniscus. This case report discusses a&#xa0;treatment approach for radial meniscal lesions combined with a&#xa0;varus leg axis. The case report involves a&#xa0;44-year-old man who reported persistent medial knee pain in his left leg despite six months of conservative treatment. Further diagnostic evaluation revealed a&#xa0;radial lesion of the medial meniscus along with a&#xa0;pre-existing varus alignment of the left leg. To address both pathologies, a&#xa0;combined approach was chosen: the radial meniscal lesion was treated with a&#xa0;meniscal repair and a&#xa0;medially opening high tibial osteotomy (HTO) was performed. Postoperatively, the patient underwent a&#xa0;six-week period of a&#xa0;complete absence of loading with movement restriction using a&#xa0;knee brace. This was followed by a&#xa0;gradual increase in weight-bearing over six to eight weeks, leading to full weight bearing. After twelve weeks the patient presented with an almost pain-free clinical picture. Correction of both the meniscal lesion and the varus alignment, along with the choice of the repair technique, can have a&#xa0;positive long-term impact on patient outcomes. This approach can facilitate a&#xa0;faster return to daily activities and professional life.</p>

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Kombinationstherapie bei radiärer Meniskusläsion und Varusdeformität des Kniegelenks

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月30日

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  • Jannis Macek,
  • René Schrödter,
  • Stefan Franz Fischerauer

摘要

Varus-aligned leg axes are considered a risk factor for the development of radial tears of the medial meniscus. This case report discusses a treatment approach for radial meniscal lesions combined with a varus leg axis. The case report involves a 44-year-old man who reported persistent medial knee pain in his left leg despite six months of conservative treatment. Further diagnostic evaluation revealed a radial lesion of the medial meniscus along with a pre-existing varus alignment of the left leg. To address both pathologies, a combined approach was chosen: the radial meniscal lesion was treated with a meniscal repair and a medially opening high tibial osteotomy (HTO) was performed. Postoperatively, the patient underwent a six-week period of a complete absence of loading with movement restriction using a knee brace. This was followed by a gradual increase in weight-bearing over six to eight weeks, leading to full weight bearing. After twelve weeks the patient presented with an almost pain-free clinical picture. Correction of both the meniscal lesion and the varus alignment, along with the choice of the repair technique, can have a positive long-term impact on patient outcomes. This approach can facilitate a faster return to daily activities and professional life.