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The Archives of Bone and Joint Surgery، جلد ۸، شماره ۴، صفحات ۰-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
The clinical Outcome of simultaneous lateral closed- wedge distal femoral osteotomy and Anterior Cruciate Ligament reconstruction in the ACL-deficient knees with symptomatic femoral varus deformity |
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| چکیده انگلیسی مقاله |
Background: Although nowadays combined high tibial osteotomy and ACL reconstruction is accepted as a safe and effective surgery for the patients with varus osteoarthritis and anterior knee instability, sometimes the source of varus deformity is from the femoral site. No studies have examined concomitant ACL reconstruction and distal femoral osteotomy in ACL-deficient knees with femoral varus deformity and medial osteoarthritis till now. This prospective study presents the technique and clinical outcome of a consecutive series of simultaneous lateral closed-wedge distal femoral osteotomy and ACL reconstruction this procedure for the first time. Methods: Nineteen patients with confirmed ACL rupture and femoral varus deformity (mechanical lateral distal femoral angle ≥ 93°) associated with medial osteoarthritis (± lateral thrust) were included the study. Then the patients underwent simultaneous lateral closed-wedge distal femoral osteotomy and ACL reconstruction. At the end of one year follow up, final range of motion and stability of the knees and the last alignment of extremities were recorded. Surgical outcome were assessed on 2000 IKDS subjective scores and KOOS subscales. Results: The mean preoperative varus knee was 10.6° (±2.2°) mostly from the femoral side. The mean :union: time was 3.2 (±0.4) months. Regarding radiological evaluation, alignment of extremity and mLDFA corrected significantly when compared to the pre-operative findings. At the end of one year follow up, all patients were free of knee instability. Subjective assessment based on questionnaires showed a significant improvement in all aspect of knee function after surgery, however there was no considerable change in range of motion of the knees. Conclusion: Simultaneous lateral closed- wedge distal femoral osteotomy and ACL reconstruction is a valuable procedure in patients with symptomatic femoral varus knees and anterior knee instability. After one year follow up all aspects of knee function get better without serious complications. |
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| نویسندگان مقاله |
| Amin Moradi
Orthopedic department. Tabriz university of Medical Science
| Akbar Khalilpour
orthopedic department, Tabriz university of medical science , Tabriz ,Iran
| Alireza Sadegpour
Department of Orthopedic Surgery,
Shohada Educational Hospital,
Tabriz University of Medical
Sciences, Tabriz, Iran.
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| نشانی اینترنتی |
http://abjs.mums.ac.ir/article_16115.html |
| فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-2470307.pdf |
| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
RESEARCH PAPER |
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