Combined medial meniscal transplantation and high tibial osteotomy.

This study describes a new surgical technique for combined medial meniscal transplantation and opening wedge high tibial osteotomy for meniscal-deficient knees with malalignment. The technique allows wider medial joint opening, better visualization of the medial compartment as well as easier meniscal graft positioning and suturing. This is achieved by transplanting the meniscus after superficial medial collateral ligament release and before osteotomy opening and fixation.