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Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up.
Bonin, N; Ait Si Selmi, T; Donell, S T; Dejour, H; Neyret, P.
Afiliación
  • Bonin N; Centre Livet, Lyon, France. nbonin@chu-besancon.fr
Knee ; 11(6): 431-7, 2004 Dec.
Article en En | MEDLINE | ID: mdl-15581760
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.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tibia / Ligamento Cruzado Anterior / Osteoartritis de la Rodilla Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Knee Asunto de la revista: ORTOPEDIA Año: 2004 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Países Bajos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tibia / Ligamento Cruzado Anterior / Osteoartritis de la Rodilla Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Knee Asunto de la revista: ORTOPEDIA Año: 2004 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Países Bajos