Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees
Background: The presence of varus deformity in anterior cruciate ligament (ACL)-deficient knees can be a source of persistent knee pain owing to medial compartment overload. This deformity may threaten the outcome of ACL reconstruction because of increased tension on the graft. Methods: In the perio...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491716301063 |
| _version_ | 1818539601219813376 |
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| author | Ayman M. Ebied Adel Abdel Azim Foda |
| author_facet | Ayman M. Ebied Adel Abdel Azim Foda |
| author_sort | Ayman M. Ebied |
| collection | DOAJ |
| description | Background: The presence of varus deformity in anterior cruciate ligament (ACL)-deficient knees can be a source of persistent knee pain owing to medial compartment overload. This deformity may threaten the outcome of ACL reconstruction because of increased tension on the graft.
Methods: In the period between June 2006 to January 2013, 12 patients with ACL deficiency and genu varus were treated by anatomical single bundle ACL reconstruction and open medial wedge high tibial osteotomy. The selected patients had manifestations of ACL deficiency in association with medial joint line pain with or without lateral thrust.
Results: Prospective evaluation using the International Knee Documentation Committee (IKDC) score was performed. The mean follow-up period was 56 months (range, 26–74 months). This technique achieved knee stability and realignment to normal values. The IKDC score has significantly improved from 37 (pre-operation) to 78 (post-operation) (p<0.05).
Conclusion: The combined procedure of ACL reconstruction and high tibial osteotomy restored knee stability and reduced pain over the medial compartment. Although the combined procedure has a longer period of rehabilitation than an isolated ACL reconstruction, the elimination of lateral thrust and preservation of articular cartilage of the medial compartment are of paramount importance to the future of these knees. |
| first_indexed | 2024-12-11T21:44:13Z |
| format | Article |
| id | doaj.art-e468176497614100852d2ff8c44b7762 |
| institution | Directory Open Access Journal |
| issn | 2210-4917 |
| language | English |
| last_indexed | 2024-12-11T21:44:13Z |
| publishDate | 2017-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-e468176497614100852d2ff8c44b77622022-12-22T00:49:42ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172017-12-0123C81210.1016/j.jotr.2016.06.002Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus KneesAyman M. Ebied0Adel Abdel Azim Foda1Department of Orthopaedic Surgery, Faculty of Medicine, Menoufia University, Shebin El Kom, EgyptFaculty of Medicine, Zagazig University, Zagazig, EgyptBackground: The presence of varus deformity in anterior cruciate ligament (ACL)-deficient knees can be a source of persistent knee pain owing to medial compartment overload. This deformity may threaten the outcome of ACL reconstruction because of increased tension on the graft. Methods: In the period between June 2006 to January 2013, 12 patients with ACL deficiency and genu varus were treated by anatomical single bundle ACL reconstruction and open medial wedge high tibial osteotomy. The selected patients had manifestations of ACL deficiency in association with medial joint line pain with or without lateral thrust. Results: Prospective evaluation using the International Knee Documentation Committee (IKDC) score was performed. The mean follow-up period was 56 months (range, 26–74 months). This technique achieved knee stability and realignment to normal values. The IKDC score has significantly improved from 37 (pre-operation) to 78 (post-operation) (p<0.05). Conclusion: The combined procedure of ACL reconstruction and high tibial osteotomy restored knee stability and reduced pain over the medial compartment. Although the combined procedure has a longer period of rehabilitation than an isolated ACL reconstruction, the elimination of lateral thrust and preservation of articular cartilage of the medial compartment are of paramount importance to the future of these knees.http://www.sciencedirect.com/science/article/pii/S2210491716301063ACL-deficient kneeanatomic single bundle ACL reconstructionmedial compartment osteoarthritisopen wedge high tibial osteotomy |
| spellingShingle | Ayman M. Ebied Adel Abdel Azim Foda Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees Journal of Orthopaedics, Trauma and Rehabilitation ACL-deficient knee anatomic single bundle ACL reconstruction medial compartment osteoarthritis open wedge high tibial osteotomy |
| title | Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees |
| title_full | Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees |
| title_fullStr | Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees |
| title_full_unstemmed | Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees |
| title_short | Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees |
| title_sort | combined anterior cruciate ligament reconstruction and high tibial osteotomy in anterior cruciate ligament deficient varus knees |
| topic | ACL-deficient knee anatomic single bundle ACL reconstruction medial compartment osteoarthritis open wedge high tibial osteotomy |
| url | http://www.sciencedirect.com/science/article/pii/S2210491716301063 |
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