Meniscus repair in the aged shows less favorable results. As a result, treating degenerative meniscal lesions with arthroscopic menisectomy to in the middle-aged and elderly is still common. The precise mechanism of degenerative tearing isn’t understood. However, a symptomatic degenerative meniscal lesion points to an osteoarthritic knee or at least to an elevated risk of osteoarthritis. It is reported that mechanical symptoms of degenerative medial meniscus tear are rare, and it’s common for knee pain to be associated with osteoarthritis. In MRI study showed that intramedullary change or thinning of cartilage were often observed with degenerative medial meniscal tear.
Materials and methods:(1)We investigate a meniscal treatment criteria score, Japanese Orthopedic Association Score and range of motion of eight knees (group A) who required HTO in two periods after a partial meniscal resection for a six-month period, and five knees (group B) who underwent a partial meniscal resection and HTO in one term (52 years old). (2) We evaluated 10 knees that underwent an only HTO and 4 knees that underwent MS+HTO. The average age was 65 years old. We compared the T2 values of the range of interests (ROI) in 6 locations by T2 mapping coronal imaging using 3T MRI between pre-operation and 1 year post-operation.

Results

(1)The results showed that in group A, the pain in walking and stair climbing deteriorated after the partial meniscal resection, and it improved after HTO operation. All items in group B improved after the operation. (2) WORMS for cartilage and BLOKS for medial meniscus lesions were used. Postoperative T2 values were statistically less (P<0.05) in the only medial mid femoral location in HTO compared with pre-operation. There were no statistical changes of T2 values in MS+HTO between pre-operation and post-operation. Medial meniscal extrusion did not improve in both groups.

Discussion

In clinical study, HTO was effective in preventing the progression of pain after a partial meniscal resection. In MRI study, we found statistical improvement of cartilage in medial mid femur only after HTO, not meniscectomy combined with HTO.
These results showed that osteotomy is good treatment option for degenerative medial meniscal tear. Theoretically and hopefully HTO would reduce mechanical stress. It is reported that meniscal stress reduce 1MP after open wedged high tibia osteotomy. We didn’t know that a relationship of meniscal repair and knee degeneration. It is reported that short term results after meniscal repair using scaffold combined HTO is not superior a partial meniscal resection combined HTO. Also meniscal allograft combined HTO is not superior only HTO. HTO is a desirable option for symptomatic degenerative meniscal lesions associated with osteoarthritis.

Midterm Results Of Anterior Cruciate Ligament Repair With Suture Tape Augmentation ePoster Presentation Graeme P. Hopper, MBChB, MSc, MRCSEd, MFSTEd, MD, FRCSGlas (Tr&Orth), UNITED KINGDOM Joanna Aithie, MBChB, UNITED KINGDOM Joanne Jenkins, MBChB, UNITED KINGDOM William Thomas Wilson, MBChB BSc(MedSci) FRCS (Tr&Orth) MFSEM(UK), UNITED KINGDOM Gordon M Mackay, MB ChB, BSc, FRCS, MD, UNITED KINGDOM
Increased Risk Of Hip And Lower Back Injury In Breaststroke Swimmers: Epidemiologic Analysis Of The Lower Back Injuries In NCAA Division I Swimmers ePoster Presentation Ioanna K Bolia, MD, MSc, PhD, UNITED STATES Hyunwoo "Paco" Kang, MD, UNITED STATES Cory K. Mayfield, MD, UNITED STATES Russell Romano, ATC, UNITED STATES Aryan Haratian, BS, UNITED STATES Laith K Hasan, BBA, UNITED STATES Frank Petrigliano, UNITED STATES James E. Tibone, MD, UNITED STATES Seth C. Gamradt, MD, UNITED STATES Alexander E. Weber, MD, UNITED STATES
Surgical management of severe post-traumatic arthrofibrosis of the knee: clinical results in workers´compensation population ePoster Presentation Jose Ignacio Laso, Md, CHILE Nicolas Franulic, MD, CHILE Cristobal Del Pino, MD, CHILE Cristián Andres Brito Ayet, MD, CHILE Carlos Rojas, MD, CHILE Nicolas Gaggero, MD, CHILE
Is Arthrometric Testing A Reliable Option For Preoperative Diagnosis Of Ramp Lesions? ePoster Presentation Arcangelo Russo, MD, ITALY Giuseppe Gianluca Costa, MD, ITALY Gianluca Gianluca Zocco, MD, ITALY Angelo Graceffa, MD, ITALY Michele Lauria, MD, ITALY Giuseppe Fanzone, MD, ITALY
Tibial Bone Cyst Formation After Anterior Cruciate Ligament Reconstruction Using Absorbable Interference Screw - Case Report ePoster Presentation Rodrigo Zuccon, MD, BRAZIL Amir Daher Shehadeh, MD, BRAZIL
Meniscal Procedures are not Increased with Delayed ACL Reconstruction and Rehabilitation: Results from a Randomized Controlled Trial Abstract Presentation 5 minutes Sabine van der Graaff, MD, NETHERLANDS Max Reijman, PhD, NETHERLANDS Eline van Es, MSc, NETHERLANDS Sita Bierma-Zeinstra, MD, NETHERLANDS Jan Verhaar, MD, PhD, Prof., NETHERLANDS Duncan E. Meuffels, MD, PhD, NETHERLANDS
Patient-Reported Outcome And Surgical Conversion Rate After Treatment With A Physiotherapy-Led Progressive Exercise Program Plus A Support Brace In Patients With An Acute Injury Of The Posterior Cruciate Ligament Abstract Presentation 6 minutes Randi Rasmussen, BPT, DENMARK Julie Jacobsen, Phd, DENMARK Birgitte Blaabjerg, BsC, DENMARK Torsten Grønbech Nielsen, PhD., DENMARK Lene L. Miller, Masters Degree, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
Rotational Reference Axes in TKA ePoster Presentation Johncy Panicker, MBBS, MS, INDIA Amritaraj Satheesh, MBBS,MS, INDIA Balu C Babu, MBBS, MS, INDIA Mohan Thadi, MS DNB FRCS MCh, INDIA Jai Thilak Kailathuvalapil, MS, MCh, FRCS, INDIA
Patient Specific Alignment is the Key Attribute of Robotically Assisted Surgery. A Comparative Trial with 120 Patients. ePoster Presentation Philip Winnock De Grave, MD, BELGIUM Jonas Kellens, MD, BELGIUM Thomas Tampere, MD, PhD-candidate, BELGIUM Hannes Vermue, MD, BELGIUM Alexander Ryckaert, MD, BELGIUM Paul Gunst, MD, BELGIUM Tamaya Van Criekinge, PhD, BELGIUM Thomas Luyckx, MD, PhD, BELGIUM Kurt Claeys, Prof., PhD, BELGIUM
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What Is The Failure Rate After Arthroscopic Repair Of Bucket-Handle Meniscal Tears? A Systematic Review And Meta-Analysis. ePoster Presentation Giuseppe Gianluca Costa, MD, ITALY Alberto Grassi, PhD, ITALY Gianluca Gianluca Zocco, MD, ITALY Giuseppe Fanzone, MD, ITALY Angelo Graceffa, MD, ITALY Stefano Zaffagnini, MD, Prof., ITALY Arcangelo Russo, MD, ITALY Michele Lauria, MD, ITALY
A Modified Lemaire Lateral Extra-Articular Tenodesis in High-Risk Adolescents Undergoing Anterior Cruciate Ligament Reconstruction: Two-Year Clinical Outcomes ePoster Presentation Sofia Hidalgo Perea, BS, UNITED STATES Christopher Brusalis, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
The Reliability Of 3-Tesla Mri To Identify Arthroscopic Features Of Meniscus Tears And Its Utility To Predict Meniscus Tear Reparability ePoster Presentation Thomas J. Kremen, MD, UNITED STATES Jason Strawbridge, BS, UNITED STATES Grant Schroeder, BA, UNITED STATES Ignacio Garcia-Mansilla, MD, ARGENTINA Amit Singla, UNITED STATES Benjamin D. Levine, MD, UNITED STATES Kambiz Motamedi, MD, UNITED STATES Kristofer J. Jones, MD, UNITED STATES
Early Postoperative Results of the First Latin-American Experience with Robotic-Arm-Assisted TKA versus Conventional Technique Abstract Presentation 5 minutes David H. Figueroa, MD, CHILE Rodrigo Guiloff, MD, Prof, CHILE Tomas Prado, MD, CHILE Juan Jose Sotomayor, MD, CHILE Alberto Alarcon, MD, CHILE Alex Vaisman, MD, Prof., CHILE Rafael Calvo, MD, CHILE
Variations In Branching Of Popliteal Artery And Its Clinical Interest Abstract Presentation 9 minutes Paloma Aragonés, MD, PhD, Prof., SPAIN Miguel Angel Hernan-Prado, MD, SPAIN Sara Quinones, MD, SPAIN Yolanda Guindal Pérez, PhD, SPAIN Ana María Valverde Villar, MD, SPAIN Irene Espina Flores , MD, SPAIN Jose R Sanudo, MD, PhD, Prof, SPAIN
Arthroscopic Meniscal Allograft Transplantation With Intermeniscal Ligament Tenodesis Is Effective In Reducing Initial Extrusion Abstract Presentation 6 minutes Nicolas Pujol, MD, FRANCE
Lower Extremity Alignment in Professional Soccer Players Abstract Presentation 5 minutes Spencer M. Stein, MD, UNITED STATES William Tyler Haselman, BS, UNITED STATES Bert Roland Mandelbaum, MD, DHL(Hon), UNITED STATES
Diagnosis Of Peri-Prosthetic Knee Infection: What Do The New Msis Definition Criteria Bring? Abstract Presentation 6 minutes Jean-Yves Jenny, Prof., FRANCE Nicolas Giordano, MD, FRANCE
Isolated MCL Reconstruction Might Not Be Sufficient In Cases With A High-Grade Anteromedial Rotatory Knee Instability Abstract Presentation 5 minutes Elmar Herbst, MD, PhD, GERMANY Christian Peez, MD, GERMANY Lena Haferkemper, Ms., GERMANY Jens Wermers, MD, GERMANY Johannes Glasbrenner, MD, GERMANY Thorben Briese, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY
Proximal Tibial Varus Osteotomy For Valgus Knee. ePoster Presentation Vitor Barion Castro De Padua, PhD, BRAZIL Marcelo Rodrigues Torres, MD, BRAZIL Halley Paranhos Paranhos, Jr., MD, BRAZIL Lucas Fenandes Piazzalunga, MD, BRAZIL
Pediatric Reference Anatomy For Anterolateral Ligament Reconstruction– A Cadaveric Study ePoster Presentation Sahej Randhawa, BS, UNITED STATES Sunny Trivedi, BS, UNITED STATES Tyler Stavinoha, MD, UNITED STATES Theodore Ganley, MD, UNITED STATES Marc Tompkins, MD, UNITED STATES Henry B. Ellis, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Kevin G. Shea, MD, UNITED STATES
Pre-Operative Opioids In Knee Arthroplasty: A Risk Factor For Long-Term Opioid Use ePoster Presentation Fraser Henderson, MBChB, MPhil, FRCS (Tr & Orth), UNITED KINGDOM Sarah Cooper, MBChB, UNITED KINGDOM Paul Paterson-Byrne, MEng, MSc, MBChB, MRCS, UNITED KINGDOM William Leach, FRCS Orth, UNITED KINGDOM
Avoiding Popliteal Neuro-Vascular Injury During Iliotibial Band Acl Reconstruction ePoster Presentation Kevin G. Shea, MD, UNITED STATES Marc Tompkins, MD, UNITED STATES Brian Vuong, BS, UNITED STATES Curtis D. Vandenberg, MD, UNITED STATES Cooper Shea, BS, UNITED STATES Philip L. Wilson, MD, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES Theodore Ganley, MD, UNITED STATES Henry B. Ellis, MD, UNITED STATES
Comparison of Bone-Patella Tendon-Bone and Quadriceps Tendon Autograft for ACL Reconstruction at Twelve-Month Follow-Up ePoster Presentation Seth L. Sherman, MD, UNITED STATES Daniel William Hogan, MS, UNITED STATES Major Benjamin Burch, MD, UNITED STATES Joseph M. Rund, BS, UNITED STATES Richard Ma, MD, UNITED STATES Aaron Gray, MD, UNITED STATES John W. Welsh, BA, UNITED STATES Taylor E. Ray, UNITED STATES Derek W Geeslin, BS, UNITED STATES
Correlation between tibial bone morphology and changes in joint line convergence angle ePoster Presentation Junya Itou, MD, PhD, JAPAN Umit Kuwa, MD, PhD, JAPAN Masafumi Itoh, MD, PhD, JAPAN Ken Okazaki, MD, PhD, JAPAN
Bicruciate-Retaining Versus Posterior-Stabilizing Total Knee Arthroplasty: A Randomized, Controlled Trial Evaluating Clinical and Radiographic Outcomes at 5 Years Abstract Presentation 4 minutes Antoine Denis, CANADA Frédéric Lavoie, MD, MSc, FRCSC, CANADA Sami Chergui, MD, CANADA
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Measured Resection Mechanically and Kinematically Aligned TKA'S often result in an Imbalanced Knee Abstract Presentation 9 minutes Mark G. Clatworthy, FRACS, NEW ZEALAND J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM Nicola Blucher , BA MA MBBS FRCS, UNITED KINGDOM
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ACL Surgery: Can Patients Read, Understand, and Act on Online Resources? A Cross-Sectional Study of Online Patient Education Materials ePoster Presentation Alan Shamrock, MD, UNITED STATES Burke Gao, MD, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Olivia O'Reilly, MD, UNITED STATES Kyle R. Duchman, MD, UNITED STATES Robert W. Westermann, MD, UNITED STATES Brian Wolf, MD, UNITED STATES
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Effects Of A Novel Hyaluronic Acid-Based Antibiotic Delivery System on Osteogenic Cell Cultures ePoster Presentation Dimitrios Argyrakis, MD, IOC Dip Sp Phy, SWEDEN Britt Marie Andersson, Research Engineer, SWEDEN Oommen Varghese, Associate Professor, SWEDEN Nils Hailer, Professor, SWEDEN Nicos Schizas, MD, PhD, SWEDEN
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A High Tibial Slope, Allograft Use, And Poor Patient-Reported Outcome Scores Are Associated With Multiple ACL Graft Failures ePoster Presentation Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA Ryan Eads, MD, UNITED STATES Nyaluma N. Wagala, MD, UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
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Avascular Necrosis Of The Knee After ACL Reconstruction – An Under-Recognized Problem? ePoster Presentation William Michael Pullen, MD, UNITED STATES Kier J. Ecklund, MD James T. Rosneck, MD, UNITED STATES Marc R. Safran, MD, Prof., UNITED STATES
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Modified Lemaire Antero-Lateral Extra Articular Tenodesis Alters the MRI Maturity Signal of ACL Hamstring Graft ePoster Presentation Maximiliano Ibañez, MD, SPAIN Gonzalo Rojas Castillo, MD, CHILE Simone Perelli, MD,PhD, SPAIN Pablo E. Gelber, MD, PhD, SPAIN Juan Ignacio Erquicia, MD, PhD, SPAIN Àngel Masferrer-Pino, MD PhD, SPAIN Daniel Pérez-Prieto, MD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
A PROSPECTIVE OBSERVATIONAL STUDY OF FUNCTIONAL OUTCOME OF AUTOLOGOUS LEUKOCYTE POOR PLATELET RICH PLASMA THERAPY FOR BILATERAL GRADE-IV OSTEOARTHRITIS KNEE. ePoster Presentation Umesha Chowdaiah, MBBS, D.Ortho, DNB (Ortho), INDIA
Substantial Clinical Benefit In The Patient Reported Outcomes Following Primary Anterior Cruciate Ligament Reconstruction ePoster Presentation Youngsik Jeon, MD, KOREA, REPUBLIC OF Jihoon Bae, MD, PhD, KOREA, REPUBLIC OF Tae Jin Lee, MD, KOREA, REPUBLIC OF Taejin Kim, MD, KOREA, REPUBLIC OF
The Partial Femoral Condyle Focal Resurfacing (Hemicap-Unicap) For Treatment Of Full-Thickness Cartilage Defects, Systematic Review And Meta-Analysis ePoster Presentation Hany Elbardesy, MSc, MD, FRCS(Orth), FEBOT, SICOT Diploma, UNITED KINGDOM James Harty, Prof, IRELAND Lydia Simmon, MRCS, IRELAND Matthew Nagle, FRCS, IRELAND
Knee Laxity And Functional Knee Outcome After Contralateral ACLR Are Comparable To Those After Primary ACLR ePoster Presentation Riccardo Cristiani, MD, PhD, SWEDEN Sofia Viheriävaara, MD, SWEDEN Per-Mats Janarv, MD, PhD, Associate Prof., SWEDEN Gunnar Edman, MD, PhD, Prof., SWEDEN Magnus Forssblad, SWEDEN Anders Stalman, MD, PhD, Professor, SWEDEN
The Anterior Portion Of The Medial Collateral Ligament Is The Major Restraint To Anteromedial Rotatory Instability Abstract Presentation 5 minutes Elmar Herbst, MD, PhD, GERMANY Christian Peez, MD, GERMANY R M, Mr., GERMANY Jens Wermers, MD, GERMANY Johannes Glasbrenner, MD, GERMANY Thorben Briese, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY
Results Of 234 Meniscal Tear Repair Cases With A Minimum Follow-Up Of 2 Years. ePoster Presentation Horacio F. Rivarola-Etcheto, MD, ARGENTINA Cristian Collazo Blanchod, MD, ARGENTINA Marcos Meninato, MD, ARGENTINA Facundo Cosini, MD, ARGENTINA Juan Martín Carraro, MD, ARGENTINA Bruno Terrarossa, MD, ARGENTINA Carlos Mendoza Puello, MD, ARGENTINA
The Use Of Calcium Sulfate Hemihydrate As A Local Carrier For Antibiotics In The Treatment Or Prevention Of Orthopedic Infections ePoster Presentation Gerhard E. Maale, MD, Prof., UNITED STATES Nicole Kennard, BS, MAT, UNITED STATES Arianna Mixon, BS, UNITED STATES Aniruth Srinivasaraghavan, BS, UNITED STATES Daniel Mohammadi, BS, UNITED STATES Timothy Culbertson, BS, UNITED STATES
Coronal Plane Knee Joint Line Slope Moves Contact Areas and Loads the Menisci post Osteotomy Abstract Presentation 5 minutes Dong Wang, PhD, UNITED KINGDOM Lukas Willinger, MD, GERMANY Kiron K. Athwal, PhD, MEng, UNITED KINGDOM Andy Williams, MBBS, FRCS(Orth), FFSEM(UK), UNITED KINGDOM Andrew A. Amis, FREng, DSc, PhD, UNITED KINGDOM
Comparison Of One Stage Versus Two Stage Revisions For Infected Total Knees Abstract Presentation 5 minutes Aniruth Srinivasaraghavan, BS, UNITED STATES Nicole Kennard, BS, MAT, UNITED STATES Arianna Mixon, BS, UNITED STATES Daniel Mohammadi, BS, UNITED STATES Gerhard E. Maale, MD, Prof., UNITED STATES
Five Year Results of a Prospective Randomized Controlled Trail: ACL Repair vs. ACL Reconstruction. ePoster Presentation Johannes Glasbrenner, MD, GERMANY Christoph Kittl, MD, MD(res), GERMANY Michael J. Raschke, MD, Prof., GERMANY Elmar Herbst, MD, PhD, GERMANY Thorben Briese, MD, GERMANY Christian Peez, MD, GERMANY Mirco Herbort, MD, Prof., GERMANY Clemens Kösters, PD Dr. med., GERMANY Benedikt Schliemann, MD, GERMANY
Correlation Of The Squat-And-Smile Test Against Other Patient Reported Outcome Scores In Knee Pathology ePoster Presentation Johan Le Roux, FC Ortho, MMed, DA (SA), MB,ChB, SOUTH AFRICA Roopam Dey, PhD, SOUTH AFRICA Simone Deichl, MD, SOUTH AFRICA Maritz Laubscher, MD, SOUTH AFRICA Michael Held, MD, PhD, SOUTH AFRICA
The Application Of Continuous Passive Motion After Total Knee Arthroplasty Does Not Affect The Knee Motion, Postoperative Pain And Surgical Wound Aspect ePoster Presentation Sergi Gil Gonzalez, MD, SPAIN Ricardo Andrés Barja, MD, SPAIN Laura Valls, MD, SPAIN Hector Hormigó, MD, SPAIN Antonio Luis García Cebrián, MD, SPAIN Enrique Fernandez Bengoa, MD, SPAIN Antoni López Pujol, MD, SPAIN Juan Ignacio Erquicia, MD, PhD, SPAIN Xavier Pelfort, PhD, SPAIN Joan Leal-Blanquet, MD, PhD, SPAIN
An Activity Scale for All Youth Athletes? An Analysis of the HSS Pedi-FABS in 2459 Pediatric Sports Medicine Patients ePoster Presentation Henry B. Ellis, MD, UNITED STATES Connor Carpenter, BBA, UNITED STATES Savannah Cooper, MS, UNITED STATES Benjamin Johnson, PA-C, UNITED STATES Charles W Wyatt, CPNP, UNITED STATES Shane Miller, MD, UNITED STATES Kevin G. Shea, MD, UNITED STATES Philip L. Wilson, MD, UNITED STATES
Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies Abstract Presentation 6 minutes Santa-Marie Venter, MMED(Ortho), MSc, MBChB, LLB, BA, SOUTH AFRICA Roopam Dey, PhD, SOUTH AFRICA Vikas Khanduja, MA(Cantab), MBBS, MSc, FRCS, FRCS(Orth), PhD, UNITED KINGDOM Richard P. von Bormann, MD, SOUTH AFRICA Michael Held, MD, PhD, SOUTH AFRICA
Analysis Of Post-Operative Osteoblastic Activity Patterns In Unicondylar Knee Arthroplasties Slated For Revision ePoster Presentation Félix Dandois, MSc, BELGIUM Lucas Beckers, MD, BELGIUM Hilde Vandenneucker, MD, PhD, Prof, BELGIUM Lennart Scheys, PhD, Prof., BELGIUM
Outcomes of Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability in Patients with Ehlers-Danlos Syndrome Abstract Presentation 5 minutes James Nemunaitis, DO, UNITED STATES Shital N. Parikh, MD, UNITED STATES
The Anterolateral Ligament Has Limited Intrinsic Healing Potential: A Serial 3D-MRI Study Of Anterior Cruciate Ligament Injured Knees ePoster Presentation Adnan Saithna, MD, FRCS, UNITED STATES

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Osteotomy for degenerative meniscus lesions

Osteotomy for degenerative meniscus lesions

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Osteotomy for degenerative meniscus lesions

Osteotomy for degenerative meniscus lesions

Introduction

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Discussion