Combined ACL reconstruction and opening wedge high tibial osteotomy at 10-year follow-up: excellent laxity control but uncertain return to high level sport

Autor: S Gunst, R. Gaillard, Elvire Servien, P Neyret, Sébastien Lustig, C Batailler, A Schneider
Přispěvatelé: Service de Chirurgie Orthopédique [Centre Albert Trillat], Centre Albert Trillat [Hôpital de la Croix-Rousse - HCL], Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL)-Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406 ), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Gustave Eiffel
Rok vydání: 2019
Předmět:
Male
Wilcoxon signed-rank test
medicine.medical_treatment
Arthritis
Osteoarthritis
Osteotomy
Bone-Patellar Tendon-Bone Grafting
0302 clinical medicine
Postoperative Complications
High tibial osteotomy
Orthopedics and Sports Medicine
HOMME
030222 orthopedics
biology
[SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph]
Middle Aged
Osteoarthritis
Knee
musculoskeletal system
medicine.anatomical_structure
Treatment Outcome
Athletic Injuries
Disease Progression
KNEE
Female
Adult
Joint Instability
medicine.medical_specialty
Anterior cruciate ligament
03 medical and health sciences
medicine
Humans
ADULTE
Retrospective Studies
business.industry
Anterior Cruciate Ligament Injuries
030229 sport sciences
Lysholm Knee Score
medicine.disease
biology.organism_classification
Surgery
Return to Sport
Radiography
Valgus
OSTEOARTHRITIS
FEMME
Orthopedic surgery
business
ANTERIOR CRUCIATE LIGAMENT
Follow-Up Studies
Zdroj: Knee Surgery, Sports Traumatology, Arthroscopy
Knee Surgery, Sports Traumatology, Arthroscopy, Springer Verlag, 2020, 28 (3), pp 960-968. ⟨10.1007/s00167-019-05592-2⟩
ISSN: 1433-7347
0942-2056
DOI: 10.1007/s00167-019-05592-2⟩
Popis: The purpose of this study was to report the long-term outcomes of a continuous series of patients who underwent simultaneous anterior cruciate ligament (ACL) reconstruction and opening wedge high tibial osteotomy (HTO) for varus-related early medial tibio-femoral osteoarthritis. It was hypothesized that this combined surgery sustainably allowed return to sport with efficient clinical and radiological results. From 1995 to 2015, all combined ACL reconstruction (bone-patellar tendon-bone graft) and opening wedge HTO for anterior laxity and early medial arthritis were included. Clinical evaluation at final follow-up used Tegner activity score, Lysholm score, subjective and objective IKDC scores. Radiologic evaluation consisted in full-length, standing, hip-to-ankle X-rays, monopodal weight-bearing X-rays and skyline views. AP laxity assessment used Telos™ at 150 N load. Student’s t test was performed for matched parametric data, Wilcoxon for nonparametric variables and Friedman test was used to compare small cohorts, with p
Databáze: OpenAIRE
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