Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency
High tibial osteotomy (HTO) is used in the treatment of varus knee osteoarthritis (KOA) in young and active patients. At times, a concomitant anterior cruciate ligament (ACL) deficiency is found, and there is no conclusive evidence comparing the osteotomy options for an ACL-deficient knee despite th...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628722000329 |
| _version_ | 1818216979264176128 |
|---|---|
| author | Tsuneari Takahashi, M.D., Ph.D. Mikiko Handa, M.D. Yuya Kimura, M.D. Katsushi Takeshita, M.D., Ph.D. |
| author_facet | Tsuneari Takahashi, M.D., Ph.D. Mikiko Handa, M.D. Yuya Kimura, M.D. Katsushi Takeshita, M.D., Ph.D. |
| author_sort | Tsuneari Takahashi, M.D., Ph.D. |
| collection | DOAJ |
| description | High tibial osteotomy (HTO) is used in the treatment of varus knee osteoarthritis (KOA) in young and active patients. At times, a concomitant anterior cruciate ligament (ACL) deficiency is found, and there is no conclusive evidence comparing the osteotomy options for an ACL-deficient knee despite the popularity of medial opening-wedge (MOW) HTO in varus KOA with ACL deficiency. To minimize the incidence of an unnecessary ACL reconstruction with MOW-HTO, we developed an intraoperative laximetry-based selective technique for transtibial ACL reconstruction concomitant with MOW-HTO using a sterilizable metal laximeter. To successfully use the device required for this procedure, surgeons must understand the proper techniques. Hence, this Technical Note aims to give a comprehensive description of the technique. |
| first_indexed | 2024-12-12T07:00:34Z |
| format | Article |
| id | doaj.art-7c80e3219cfb435c86dca569d1aba8fa |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-12T07:00:34Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-7c80e3219cfb435c86dca569d1aba8fa2022-12-22T00:33:50ZengElsevierArthroscopy Techniques2212-62872022-06-01116e959e963Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament DeficiencyTsuneari Takahashi, M.D., Ph.D.0Mikiko Handa, M.D.1Yuya Kimura, M.D.2Katsushi Takeshita, M.D., Ph.D.3Department of Orthopedic Surgery, Ishibashi General Hospital, Shimotsuke, Japan; Address correspondence to Tsuneari Takahashi, M.D., Ph.D., Department of Orthopedic Surgery, Ishibashi General Hospital, Shimotsuke, 1-15-4 Shimokoyama, 329-0502, Japan.Department of Orthopedic Surgery, Ishibashi General Hospital, Shimotsuke, JapanDepartment of Orthopedic Surgery, Tochigi Medical Center Shimotsuga, Tochigi, JapanDepartment of Orthopedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, JapanHigh tibial osteotomy (HTO) is used in the treatment of varus knee osteoarthritis (KOA) in young and active patients. At times, a concomitant anterior cruciate ligament (ACL) deficiency is found, and there is no conclusive evidence comparing the osteotomy options for an ACL-deficient knee despite the popularity of medial opening-wedge (MOW) HTO in varus KOA with ACL deficiency. To minimize the incidence of an unnecessary ACL reconstruction with MOW-HTO, we developed an intraoperative laximetry-based selective technique for transtibial ACL reconstruction concomitant with MOW-HTO using a sterilizable metal laximeter. To successfully use the device required for this procedure, surgeons must understand the proper techniques. Hence, this Technical Note aims to give a comprehensive description of the technique.http://www.sciencedirect.com/science/article/pii/S2212628722000329 |
| spellingShingle | Tsuneari Takahashi, M.D., Ph.D. Mikiko Handa, M.D. Yuya Kimura, M.D. Katsushi Takeshita, M.D., Ph.D. Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency Arthroscopy Techniques |
| title | Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency |
| title_full | Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency |
| title_fullStr | Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency |
| title_full_unstemmed | Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency |
| title_short | Intraoperative Laximetry-Based Selective Transtibial Anterior Cruciate Ligament Reconstruction Concomitant With Medial Open Wedge High Tibial Osteotomy for Treating Varus Knee Osteoarthritis With Anterior Cruciate Ligament Deficiency |
| title_sort | intraoperative laximetry based selective transtibial anterior cruciate ligament reconstruction concomitant with medial open wedge high tibial osteotomy for treating varus knee osteoarthritis with anterior cruciate ligament deficiency |
| url | http://www.sciencedirect.com/science/article/pii/S2212628722000329 |
| work_keys_str_mv | AT tsunearitakahashimdphd intraoperativelaximetrybasedselectivetranstibialanteriorcruciateligamentreconstructionconcomitantwithmedialopenwedgehightibialosteotomyfortreatingvaruskneeosteoarthritiswithanteriorcruciateligamentdeficiency AT mikikohandamd intraoperativelaximetrybasedselectivetranstibialanteriorcruciateligamentreconstructionconcomitantwithmedialopenwedgehightibialosteotomyfortreatingvaruskneeosteoarthritiswithanteriorcruciateligamentdeficiency AT yuyakimuramd intraoperativelaximetrybasedselectivetranstibialanteriorcruciateligamentreconstructionconcomitantwithmedialopenwedgehightibialosteotomyfortreatingvaruskneeosteoarthritiswithanteriorcruciateligamentdeficiency AT katsushitakeshitamdphd intraoperativelaximetrybasedselectivetranstibialanteriorcruciateligamentreconstructionconcomitantwithmedialopenwedgehightibialosteotomyfortreatingvaruskneeosteoarthritiswithanteriorcruciateligamentdeficiency |