The clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

Malahias Michael Alexander; SHAHPARI OMID; Kaseta Maria Kyriaki

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2018 | Volume:6 | Issue:3 Page(s): 161-168

Download Full-Text

View:

194

Download:

113

Cites:

Information Journal Paper

Title

The clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review

Author(s)

Malahias Michael Alexander | SHAHPARI OMID | Kaseta Maria Kyriaki | Issue Writer Certificate

Keywords

Combined HTO ACL reconstruction

One-stage high tibial osteotomy and anterior cruciate ligament reconstruction

Simultaneous HTO ACL reconstruction

Systematic review

Abstract

Background: Patients with an anterior cruciate ligament-deficient varus-angulated knee may need not only an isolated high tibial osteotomy (HTO), but also an additional anterior cruciate ligament reconstruction (ACLR). A number of prospective clinical trials have been published considering the combination of HTO and ACL reconstruction. Our aim was to investigate whether one-stage combined HTO and ACL reconstruction is an effective, well-established technique with long-term results in the treatment of varus-angu lated knees with ACL deficiency. Methods: A Systematic review was conducted by two independent reviewers by searching the MEDLINE/PubMed and the Cochrane Database of Systematic reviews. These databases were queried with the term ‘ combined high tibial osteotomy anterior cruciate ligament reconstruction’ and ‘ simultaneous high tibial osteotomy anterior cruciate ligament reconstruction’ . Results: From the initial 41 studies we finally chose and assessed 6 studies were eligible according to our inclusionexclusion criteria. The vast majority of the patients were treated with hamstrings autograft (85. 6% of the patients), whereas a small minority had a patellar Bone-to-Bone autograft (12. 8% of the patients) and 3 patients received a patellar allograft. High tibial open wedge osteotomy was performed in 116 patients (57. 4%) and closed wedge in 86 patients (42. 6%). The mean pre-operative angle of the patients included in our review was 6. 6º varus, while the mean final post-operative angle was found to be 1. 3º valgus. All 6 studies illustrated improved post-operative IKDC with the use of one-stage HTO and ACLR, whereas the reoperation rate was very low. Conclusion: Despite the lack of high quality studies, it seems that one-stage HTO and ACLR is a safe and effective procedure for treatment of patients suffering from symptomatic varus osteoarthritis in combination with anterior knee instability.

Cites

References

Cite

APA: Copy

Malahias, Michael Alexander, SHAHPARI, OMID, & Kaseta, Maria Kyriaki. (2018). The clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review. THE ARCHIVES OF BONE AND JOINT SURGERY, 6(3), 161-168. SID. https://sid.ir/paper/350122/en

Vancouver: Copy

Malahias Michael Alexander, SHAHPARI OMID, Kaseta Maria Kyriaki. The clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2018;6(3):161-168. Available from: https://sid.ir/paper/350122/en

IEEE: Copy

Michael Alexander Malahias, OMID SHAHPARI, and Maria Kyriaki Kaseta, “The clinical Outcome of One-stage High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction. A Current Concept Systematic and Comprehensive Review,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 6, no. 3, pp. 161–168, 2018, [Online]. Available: https://sid.ir/paper/350122/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops