{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:45:09Z","timestamp":1792086309493,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Combining high tibial osteotomy with meniscal posterior root repair is technically challenging because of the limited metaphyseal bone stock, the proximity of the transtibial tunnel to the osteotomy site, and the risk of implant conflict or tibial fracture. To address these challenges, we describe a surgical technique that integrates computed tomography\u2010based 3\u2010dimensional (3D) preoperative planning with patient\u2010specific 3D\u2010printed surgical guides. 3D simulation of the osteotomy plane, fixation plate position, screw trajectories, and transtibial tunnel enables preoperative assessment of the spatial relation among these structures, allowing optimization of tunnel orientation, implant placement, and preservation of adequate bone stock before surgery. Patient\u2010specific 3D\u2010printed guides accurately reproduce the virtual plan intraoperatively, facilitating precise execution of both the osteotomy and transtibial tunnel creation.<\/jats:p>","DOI":"10.1002\/atn2.70323","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:00:27Z","timestamp":1792083627000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Combined Management of Meniscus Root Tear and High Tibial Osteotomy: A Surgical Strategy Using 3\u2010Dimensional Printing"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4139-0071","authenticated-orcid":false,"given":"Arash","family":"Sherafatvaziri","sequence":"first","affiliation":[{"name":"Center for Orthopedic Trans\u2010Disciplinary Applied Research, Shariati Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-7745","authenticated-orcid":false,"given":"Morad","family":"Karimpour","sequence":"additional","affiliation":[{"name":"School of Mechanical Engineering, College of Engineering University of Tehran  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5145-4235","authenticated-orcid":false,"given":"Ghazaleh","family":"Moradkhani","sequence":"additional","affiliation":[{"name":"School of Mechanical Engineering, College of Engineering University of Tehran  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasaman","family":"Ghahremani","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering Islamic Azad University, Science and Research Branch  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9136-0479","authenticated-orcid":false,"given":"Fardis","family":"Vosoughi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Shariati Hospital and School of Medicine Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6355-9851","authenticated-orcid":false,"given":"Alireza","family":"Mirzamohamadi","sequence":"additional","affiliation":[{"name":"Center for Orthopedic Trans\u2010Disciplinary Applied Research, Shariati Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4881-0710","authenticated-orcid":false,"given":"Ramin","family":"Shayan\u2010moghadam","sequence":"additional","affiliation":[{"name":"Center for Orthopedic Trans\u2010Disciplinary Applied Research, Shariati Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"366","article-title":"Meniscal root tears: A decade of research on their relevant anatomy, biomechanics, diagnosis, and treatment","volume":"10","author":"Banovetz MT","year":"2022","journal-title":"Arch Bone Jt Surg."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"101618","DOI":"10.1016\/j.jcot.2021.101618","article-title":"Role of high tibial osteotomy in medial compartment osteoarthritis of the knee: Indications, surgical technique and outcomes","volume":"23","author":"Khakha RS","year":"2021","journal-title":"J Clin Orthop Trauma."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/j.arthro.2022.09.009","article-title":"Medial meniscus posterior root repair restores contact 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M","year":"2025","journal-title":"Arthroscopy."},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-021-04499-9","article-title":"Effect of concurrent repair of medial meniscal posterior root tears during high tibial osteotomy for medial osteoarthritis during short\u2010term follow\u2010up: A systematic review and meta\u2010analysis","volume":"22","author":"Kyun\u2010Ho S","year":"2021","journal-title":"BMC Musculoskelet Disord."},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s40634-022-00504-9","article-title":"High tibial osteotomy for medial meniscus posterior root tears in knees with moderate varus alignment can achieve favorable clinical outcomes","volume":"9","author":"Itou J","year":"2022","journal-title":"J Exp Orthop."},{"key":"e_1_2_7_9_1","first-page":"e57170","article-title":"Medial meniscus posterior root reconstruction and open\u2010wedge high\u2010tibial osteotomy for medial meniscus posterior root tear with varus knee alignment: A retrospective study on short\u2010term outcomes","volume":"16","author":"Okamura H","year":"2024","journal-title":"Cureus."},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.knee.2023.10.011","article-title":"Arthroscopic pullout repair versus suture anchor repair for medial meniscus posterior root tear combined with high tibial osteotomy","volume":"45","author":"Omae H","year":"2023","journal-title":"Knee."},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.jot.2019.06.004","article-title":"Benefits of opposite screw insertion technique in medial open\u2010wedge high tibial osteotomy: A virtual biomechanical study","volume":"20","author":"Yang JC\u2010S","year":"2020","journal-title":"J Orthop Translat."},{"key":"e_1_2_7_12_1","first-page":"e1321","article-title":"Posterior\u2010medial meniscal root repair through lateral tibial tunnel combined with medial opening osteotomy and homologous graft","volume":"11","author":"Goes RA","year":"2022","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/os.13483","article-title":"Is patient\u2010specific instrumentation accurate and necessary for open\u2010wedge high tibial osteotomy? A meta\u2010analysis","volume":"15","author":"Pang R","year":"2023","journal-title":"Orthop Surg."},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"e70088","DOI":"10.1002\/jeo2.70088","article-title":"3D\u2010printed patient\u2010specific instrumentation and the freehand technique in high\u2010tibial osteotomy: A prospective cohort\u2010comparative study in an outpatient setting","volume":"12","author":"Grillo G","year":"2025","journal-title":"J Exp Orthop."},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"e1133","DOI":"10.1016\/j.eats.2023.03.001","article-title":"Posterior meniscal root repair with transtibial double tunnel pullout technique and anchor fixation","volume":"12","author":"Barnes RH","year":"2023","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"204173142110658","DOI":"10.1177\/20417314211065860","article-title":"Meniscus regeneration by 3D printing technologies: Current advances and future perspectives","volume":"13","author":"Stocco E","year":"2022","journal-title":"J Tissue Eng."},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1007\/s00167-020-06055-9","article-title":"Concurrent arthroscopic meniscal repair during open\u2010wedge high tibial osteotomy is not clinically beneficial for medial meniscus posterior root tears","volume":"29","author":"Ke X","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1007\/s00167-020-06151-w","article-title":"Remodified Mason\u2013Allen suture technique concomitant with high tibial osteotomy for medial meniscus posterior root tears improved the healing of the repaired root and suppressed osteoarthritis progression","volume":"29","author":"Kim YM","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_19_1","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1186\/s12891-023-06520-9","article-title":"The efficacy of medial meniscal posterior root tear repair with or without high tibial osteotomy: A systematic review","volume":"24","author":"Wang H","year":"2023","journal-title":"BMC Musculoskelet Disord."}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70323","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70323","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:00:30Z","timestamp":1792083630000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":18,"alternative-id":["10.1002\/atn2.70323"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70323","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2026-02-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70323"}}