Meniscal Preservation Surgery and Genu Valgum Correction through Guided Growth in Patients with Discoid Meniscus
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Published:
Jun 27, 2025
Keywords:
Meniscus, discoid, children, meniscal preservation, guided growth
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Abstract
The discoid meniscus and genu valgum can combine to cause significant joint dysfunction in the knees of pediatric patients. This paper presents a surgical technique that simultaneously addresses discoid meniscus preservation and genu valgum correction through guided growth (GG). The meniscal preservation technique aims to conserve functional meniscal tissue, improving joint biomechanics in the long term. At the same time, GG is used to realign the mechanical axis of the limb. This combined approach could optimize meniscal function and improve long-term outcomes in skeletally immature patients with a discoid meniscus.
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How to Cite
Pedraza Corbí, A., & Masquijo, J. J. (2025). Meniscal Preservation Surgery and Genu Valgum Correction through Guided Growth in Patients with Discoid Meniscus. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(3), 298-303. https://doi.org/10.15417/issn.1852-7434.2025.90.3.2065
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References
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2. Lins LAB, Feroe AG, Yang B, Williams KA, Kocher SD, Sankarankutty S, et al. Long-term mínimum 15-year follow-up after lateral discoid meniscus rim preservation surgery in children and adolescents. J Pediatr Orthop 2021;41(9):e810-e815. https://doi.org/10.1097/BPO.0000000000001903
3. Haskel JD, Uppstrom TJ, Dare DM, Rodeo SA, Green DW. Decline in clinical scores at long-term follow- up of arthroscopically treated discoid lateral meniscus in children. Knee Surg Sports Traumatol Arthrosc 2018;26(10):2906-11. https://doi.org/10.1007/s00167-017-4825-y
4. Masquijo JJ, Artigas C, de Pablos J. Growth modulation with tension-band plates for the correction of paediatric lower limb angular deformity: current concepts and indications for a rational use. EFORT Open Rev 2021;6(8):658-68. https://doi.org/10.1302/2058-5241.6.200098
5. Bram JT, Tracey OC, Lijesen E, Li DT, Chipman DE, Retzky JS, et al. Simultaneous MPFL reconstruction and guided growth result in low rates of recurrent patellofemoral instability. Knee Surg Sports Traumatol Arthrosc 2024;32(5):1105-12. https://doi.org/10.1002/ksa.12134
6. Ellsworth BK, Aitchison AH, Fabricant PD, Green DW. Use of implant-mediated guided growth with tension band plate in skeletally immature patients with knee pathology: A retrospective review. HSS J 2022;18(3):399-407. https://doi.org/10.1177/15563316211010720
7. Carabajal M, Allende GJ, Masquijo JJ. Mid-term results of arthroscopic remodelling combined with peripheral repair in children with unstable discoid meniscus. Rev Esp Cir Ortop Traumatol (Engl Ed) 2020;64(3):206-22. https://doi.org/10.1016/j.recot.2019.10.002
8. Masquijo JJ, Lanfranchi L, Torres-Gomez A, Allende V. Guided growth with the tension band plate construct: a prospective comparison of 2 methods of implant placement. J Pediatr Orthop 2015;35(3):e20-5. https://doi.org/10.1097/BPO.0000000000000263
9. Métaizeau JP, Wong-Chung J, Bertrand H, Pasquier P. Percutaneous epiphysiodesis using transphyseal screws (PETS). J Pediatr Orthop 1998;18(3):363-9. PMID: 9600565
10. Furdock RJ, Cho E, Benedick AJ, Yu J, Sattar A, Liu RW. The utility of the Modified Fels Knee Skeletal Maturity System in limb length prediction. J Pediatr Orthop 2022;42(6):327-34. https://doi.org/10.1097/BPO.0000000000002157
11. Stevens PM, Maguire M, Dales MD, Robins AJ. Physeal stapling for idiopathic genu valgum. J Pediatr Orthop 1999;19(5):645-9. PMID: 10488868
12. Zhang P, Zhao Q, Shang X, Wang Y. Effect of arthroscopic resection for discoid lateral meniscus
on the axial alignment of the lower limb. Int Orthop 2018;42(8):1897-1903. https://doi.org/10.1007/s00264-018-3944-5
13. Cho JH, Nam HS, Park SY, Ho JPY, Lee YS. Arthroscopic meniscal repair and meniscectomy for adult discoid lateral meniscus results in progression to valgus alignment and lateral compartment degeneration compared with nonoperative treatment and nondiscoid lateral meniscus. Arthroscopy 2024;40(4):1223-33. https://doi.org/10.1016/j.arthro.2023.08.085
14. He Y, Chen H, Fan Y, Zhou Y, Bao W. Partial resection of lateral discoid meniscus changes lower limb axial alignment - A retrospective cohort study. Knee 2022;37:171-9. https://doi.org/10.1016/j.knee.2022.06.010
15. Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM. Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum 2009;61(4):459-67. https://doi.org/10.1002/art.24336
16. Choi YH, Seo YJ, Ha JM, Jung KH, Kim J, Song SY. Collagenous ultrastructure of the discoid meniscus: A transmission electron microscopy study. Am J Sports Med 2017;45(3):598-603. https://doi.org/10.1177/0363546516674181
17. Vena G, D’Adamio S, Amendola A. Complications of osteotomies about the knee. Sports Med Arthrosc Rev 2013;21(2):113-20. https://doi.org/10.1097/JSA.0b013e3182900720
18. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop 2007;27(3):253-9. https://doi.org/10.1097/BPO.0b013e31803433a1
2. Lins LAB, Feroe AG, Yang B, Williams KA, Kocher SD, Sankarankutty S, et al. Long-term mínimum 15-year follow-up after lateral discoid meniscus rim preservation surgery in children and adolescents. J Pediatr Orthop 2021;41(9):e810-e815. https://doi.org/10.1097/BPO.0000000000001903
3. Haskel JD, Uppstrom TJ, Dare DM, Rodeo SA, Green DW. Decline in clinical scores at long-term follow- up of arthroscopically treated discoid lateral meniscus in children. Knee Surg Sports Traumatol Arthrosc 2018;26(10):2906-11. https://doi.org/10.1007/s00167-017-4825-y
4. Masquijo JJ, Artigas C, de Pablos J. Growth modulation with tension-band plates for the correction of paediatric lower limb angular deformity: current concepts and indications for a rational use. EFORT Open Rev 2021;6(8):658-68. https://doi.org/10.1302/2058-5241.6.200098
5. Bram JT, Tracey OC, Lijesen E, Li DT, Chipman DE, Retzky JS, et al. Simultaneous MPFL reconstruction and guided growth result in low rates of recurrent patellofemoral instability. Knee Surg Sports Traumatol Arthrosc 2024;32(5):1105-12. https://doi.org/10.1002/ksa.12134
6. Ellsworth BK, Aitchison AH, Fabricant PD, Green DW. Use of implant-mediated guided growth with tension band plate in skeletally immature patients with knee pathology: A retrospective review. HSS J 2022;18(3):399-407. https://doi.org/10.1177/15563316211010720
7. Carabajal M, Allende GJ, Masquijo JJ. Mid-term results of arthroscopic remodelling combined with peripheral repair in children with unstable discoid meniscus. Rev Esp Cir Ortop Traumatol (Engl Ed) 2020;64(3):206-22. https://doi.org/10.1016/j.recot.2019.10.002
8. Masquijo JJ, Lanfranchi L, Torres-Gomez A, Allende V. Guided growth with the tension band plate construct: a prospective comparison of 2 methods of implant placement. J Pediatr Orthop 2015;35(3):e20-5. https://doi.org/10.1097/BPO.0000000000000263
9. Métaizeau JP, Wong-Chung J, Bertrand H, Pasquier P. Percutaneous epiphysiodesis using transphyseal screws (PETS). J Pediatr Orthop 1998;18(3):363-9. PMID: 9600565
10. Furdock RJ, Cho E, Benedick AJ, Yu J, Sattar A, Liu RW. The utility of the Modified Fels Knee Skeletal Maturity System in limb length prediction. J Pediatr Orthop 2022;42(6):327-34. https://doi.org/10.1097/BPO.0000000000002157
11. Stevens PM, Maguire M, Dales MD, Robins AJ. Physeal stapling for idiopathic genu valgum. J Pediatr Orthop 1999;19(5):645-9. PMID: 10488868
12. Zhang P, Zhao Q, Shang X, Wang Y. Effect of arthroscopic resection for discoid lateral meniscus
on the axial alignment of the lower limb. Int Orthop 2018;42(8):1897-1903. https://doi.org/10.1007/s00264-018-3944-5
13. Cho JH, Nam HS, Park SY, Ho JPY, Lee YS. Arthroscopic meniscal repair and meniscectomy for adult discoid lateral meniscus results in progression to valgus alignment and lateral compartment degeneration compared with nonoperative treatment and nondiscoid lateral meniscus. Arthroscopy 2024;40(4):1223-33. https://doi.org/10.1016/j.arthro.2023.08.085
14. He Y, Chen H, Fan Y, Zhou Y, Bao W. Partial resection of lateral discoid meniscus changes lower limb axial alignment - A retrospective cohort study. Knee 2022;37:171-9. https://doi.org/10.1016/j.knee.2022.06.010
15. Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM. Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum 2009;61(4):459-67. https://doi.org/10.1002/art.24336
16. Choi YH, Seo YJ, Ha JM, Jung KH, Kim J, Song SY. Collagenous ultrastructure of the discoid meniscus: A transmission electron microscopy study. Am J Sports Med 2017;45(3):598-603. https://doi.org/10.1177/0363546516674181
17. Vena G, D’Adamio S, Amendola A. Complications of osteotomies about the knee. Sports Med Arthrosc Rev 2013;21(2):113-20. https://doi.org/10.1097/JSA.0b013e3182900720
18. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop 2007;27(3):253-9. https://doi.org/10.1097/BPO.0b013e31803433a1