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 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.
Bonin
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Centre Livet, Lyon, France. nbonin@chu-besancon.fr
Ait Si Selmi
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Donell
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Dejour
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Neyret
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D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D002648:Child; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D008023:Ligaments, Articular / Q000637:transplantation; D008297:Male; D020370:Osteoarthritis, Knee / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D012421:Rupture / Q000601:surgery; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome