Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees

Mostafa , Ibrahim A.; Al-Nahas , Mohamed A.; Abdelrazak , Hamed

Article Details

Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees

Authors:

Mostafa , Ibrahim A. | Al-Nahas , Mohamed A. | Abdelrazak , Hamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 5, pp.2908-2912

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

135734

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 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 May 2018 to April 2019, short term pilot study including 10 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: This technique achieved knee stability and realignment to normal values. The IKDC score significantly improved from 37 preoperative to 78 postoperative (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.

Article Details

Combined Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy in Anterior Cruciate Ligament-Deficient Varus Knees

Authors:

Mostafa , Ibrahim A. | Al-Nahas , Mohamed A. | Abdelrazak , Hamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 5, pp.2908-2912

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

135734

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

ORTHOPAEDICS

OSTEOTOMY

KNEES

LIGAMENTS

ACL

High Tibial Osteotomy

Knee

Issues

Article Details

Authors: Mostafa , Ibrahim A. | Al-Nahas , Mohamed A. | Abdelrazak , Hamed

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 5, pp.2908-2912

Document Type: Article

Publication Date: 4/2019

Document Language: English

Document ID (Org No.): 135734

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Mostafa , Ibrahim A. | Al-Nahas , Mohamed A. | Abdelrazak , Hamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.75 Issue 5, pp.2908-2912

Document Type:

Article

Publication Date:

4/2019

Document Language:

English

Document ID (Org No.):

135734

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002