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The Role of Alignment in Meniscal Tears and the Role of Osteotomy

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The Menisci

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Abstract

A key component of the pathophysiology and subsequent treatment of meniscal tears and dysfunction is the axial alignment of the lower limb. Degenerative meniscal tears have been shown to correlate with the presence of malalignment, particularly in the medial compartment, with meniscectomy having been shown to often result in the rapid progression of osteoarthritis. This chapter will focus on the relationship of meniscus pathology and alignment and how realignment osteotomy plays an important role in off-loading the meniscus-deficient knee compartment. This can either be accomplished by correcting the alignment on either the tibial or femoral sides, depending upon where the primary deformity exists.

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Author information

Authors and Affiliations

  1. The Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, ON, Canada

    Aad Dhollander MD, PT, PhD

  2. Consultant Orthopaedic Surgeon, Orthopaedic Sport Medicine Fellowship Director, Fowler Kennedy Sport Medicine Clinic, 3M Centre, University of Western Ontario, London, ON, N6A 3K7, Canada

    Alan Getgood MPhil, MD, FRCS(Tr and Orth)

Authors
  1. Aad Dhollander MD, PT, PhD
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  2. Alan Getgood MPhil, MD, FRCS(Tr and Orth)
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Corresponding author

Correspondence to Alan Getgood MPhil, MD, FRCS(Tr and Orth) .

Editor information

Editors and Affiliations

  1. Steadman Philippon Research Institute, Vail, Colorado, USA

    Robert F. LaPrade

  2. University of Minnesota Department of Orthopaedic Surgery, Minneapolis, Minnesota, USA

    Elizabeth A. Arendt

  3. University of Western Ontario Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada

    Alan Getgood

  4. The Orthopaedic Center, P.A., Washington, District of Columbia, USA

    Scott C. Faucett

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Dhollander, A., Getgood, A. (2017). The Role of Alignment in Meniscal Tears and the Role of Osteotomy. In: LaPrade, R., Arendt, E., Getgood, A., Faucett, S. (eds) The Menisci. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53792-3_11

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  • DOI: https://doi.org/10.1007/978-3-662-53792-3_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53791-6

  • Online ISBN: 978-3-662-53792-3

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