Single Stage Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy

Abstract

Background: An essential part of the knee joint is the ACL, anterior cruciate (ACL), which guards against pressures on the anterior tibia. It is one of the structures that is most often hurt during high-impact or sports activity. The aim of the study was to assess the effectiveness of single stage ACL surgery combined with osteotomy of the upper tibia in genu varum patients with ACL-deficient knees.

Methods: In a prospective case series randomized study, 20 patients with symptomatic combined ACL and varus knee deformity were assessed. These patients were treated surgically by simultaneous HTO and ACL reconstruction.

Results: Lyshom score preoperative and postoperative outcomes were compared, and the latter's findings were statistically significantly different (p 0.001). According to the Subjective Knee International Knee Documentation Committee (ICKD), the postoperative findings were significantly better than the preoperative ones (p0.001, p=0.01, p0.001 and p0.002, respectively) for effusion, pivot shift, lachman, and lack of extension.

Conclusions: Treatment of ACL injury in genu varum knees with combined ACL restoration and osteotomy of the upper tibia seems promising.