Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up

A retrospective review of 29 patients (30 knees) was carried out who had previously undergone a single-stage combined ACL reconstruction with valgus upper tibial osteotomy for chronic ACL rupture coupled with early medial tibio-femoral arthritis. Of the 30 knees, 19 (63%) had had a previous medial m...

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Veröffentlicht in:The knee 2004-12, Vol.11 (6), p.431-437
Hauptverfasser: Bonin, N., Ait Si Selmi, T., Donell, S.T., Dejour, H., Neyret, P.
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container_end_page 437
container_issue 6
container_start_page 431
container_title The knee
container_volume 11
creator Bonin, N.
Ait Si Selmi, T.
Donell, S.T.
Dejour, H.
Neyret, P.
description A retrospective review of 29 patients (30 knees) was carried out who had previously undergone a single-stage combined ACL reconstruction with valgus upper tibial osteotomy for chronic ACL rupture coupled with early medial tibio-femoral arthritis. Of the 30 knees, 19 (63%) had had a previous medial meniscectomy. Major complications occurred in two knees resulting in stiffness. At a mean of 12 years follow-up (6–16 years) only five knees (17%) had progressed one arthritis grade. Fourteen patients (47%) returned to intensive sports, and a further 11 (37%) played moderate sports. The mean difference in anterior tibial translation with the opposite normal knee was 3 mm at review. It was concluded that the combined operation has a low morbidity, controls anterior laxity, allows many patients to return to sports, and does not result in a rapid progression of osteoarthritis.
doi_str_mv 10.1016/j.knee.2004.02.001
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subjects Adolescent
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament - physiopathology
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Anterior tibial translation
Child
Chronic Disease
Combined Modality Therapy
Female
Femur - surgery
Follow-Up Studies
Humans
Joint Instability - diagnostic imaging
Joint Instability - physiopathology
Joint Instability - surgery
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Knee Joint - surgery
Ligaments, Articular - transplantation
Male
Osteoarthritis, Knee - classification
Osteoarthritis, Knee - physiopathology
Osteoarthritis, Knee - surgery
Osteotomy - adverse effects
Osteotomy - methods
Radiography
Retrospective Studies
Rupture - surgery
Tibia - surgery
Treatment Outcome
Valgus upper tibial osteotomy
title Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up
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