J Korean Arthrosc Soc.  2013 Feb;17(1):44-49.

Comparison of the Results between Anterior Cruciate Ligament Reconstruction alone and Combined with High Tibial Osteotomy for anterior Cruciate Ligament Ruptured Knees with Varus Alignment

• Kwak JH
• Sim JA
• Lee YS
• Hwang CH
• Lee BK

Abstract

PURPOSE
To compare of the results between anterior cruciate ligament (ACL) reconstruction alone and combined with high tibial osteotomy for ACL ruptured knees with varus alignment.
MATERIALS AND METHODS
We retrospectively reviewed 8 cases of ACL reconstruction combined with high tibial osteotomy (Group I) and 13 cases of ACL reconstruction alone (Group II) for varus angulated ACL ruptured knees (from March 2005 to February 2007). Mean age were 34.1 years (range: 20-53) in Group I, 34.9 years (range: 21-50) in Group II. Average follow up period were 22.6 months (range: 12-35) in Group I, 20 months (range: 13-33) in Group II. We analyzed clinical and radiological results.
RESULTS
There were no significant differences in clinical and radiologic results between two groups for IKDC scores, Lysholm knee scores, Lachman test, pivot shift test, KT-2000 arthrometer, 30degrees and 90degrees anterior drawer stress radiographs. Tegner activity scales and Cincinnati knee ligament rating scales were 4.9, 57.9 in Group I, and 5.6, 72.9 in Group II. Group I was statistically lower than Group II for Tegner activity scales and Cincinnati knee ligament rating scales (p<0.05).
CONCLUSION
There were no significant differences in daily living between ACL reconstruction alone and combined with high tibial ostetomy for varus angulated ACL ruptured knees. However, ACL reconstruction combined with high tibial osteotomy could limit sport activity ability.

Keyword

Tibia vara; Anterior cruciate ligament Reconstruction; High tibial osteotomy

MeSH Terms

Anterior Cruciate Ligament
Anterior Cruciate Ligament Reconstruction
Bone Diseases, Developmental
Follow-Up Studies
Knee
Ligaments
Osteochondrosis
Osteotomy
Retrospective Studies
Sports
Weights and Measures
Bone Diseases, Developmental
Osteochondrosis