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

被引：56

作者：

Bonin, N ^{[1
]}

Selmi, TAS ^{[1
]}

Donell, ST ^{[1
]}

Dejour, H ^{[1
]}

Neyret, P ^{[1
]}

机构：

[1] Ctr Livet, Lyon, France

来源：

KNEE | 2004年 / 11卷 / 06期

关键词：

valgus upper tibial osteotomy; anterior cruciate ligament; anterior tibial translation;

D O I：

10.1016/j.knee.2004.02.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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. (C) 2004 Elsevier B.V. All rights reserved.

引用

页码：431 / 437

页数：7

共 48 条

[11]

DAVIDCHAUSSE J, 1982, REV RHUM, V49, P501

[12]

DEJOUR H, 1994, CLIN ORTHOP RELAT R, P220

[13]

DEJOUR H, 1987, REV CHIR ORTHOP, V73, P157

[14]

Dejour H, 1999, REV CHIR ORTHOP, V85, P777