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KMID : 0361620150500050372
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 5 p.372 ~ p.378
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High Tibia Osteotomy for a Posterior Root Tear of the Medial Meniscus
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이종성:Lee Jong-Seong
장용석:Chang Yong-Suk/박현주:Park Hyun-Joo/윤형화:Yoon Hyung-Hwa/고형탁:Ko Hyeong-Tak/나경욱:Nha Kyung-Wook
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Abstract
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Posterior root tear of the medial meniscus which is frequently unrecognized is a common injury of meniscus that often results in serious consequences in a knee joint. After medial meniscus posterior root tear (MMPR), there is a significant increase in tibio-femoral contact pressure concomitant with altered knee joint kinematics. This injury frequently leads to meniscal extrusion, and thus the transmission of circumferential hoop stresses would be impaired, which condition is biomechanically similar to that of total meniscectomy. For these reasons, several methods (conservative treatment, meniscectomy, repair, or unicompartmental knee arthroplasty) have been developed for treatment of MMPR, many of which have shown good clinical results. However, the methods of MMPR treatment are still debatable. This article presents a review of the current strategies for treatment of common injuries to these MMPR and clinical results of high tibia osteotomy for MMPR after failed conservative treatment.
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KEYWORD
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medial meniscus, posterior root, high tibia osteotomy
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