Second Failure of ACL Graft: Third ACL Reconstruction Combined to Tibial Deflexion Osteotomy, A One Stage Procedure

Baverel, L.; Odri, Guillaume; Saffarini, Mo; Dejour, David

doi:10.1016/j.arthro.2015.04.015

Cited by 1 publication

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The included studies had a total of 77 patients. Among the treated population, 83.3% (25/30) were male (two studies did not specify sex distribution [1, 31]). Patients’ mean age was 37.7 ± 6.9 (range, 16 to 54) years, with a follow-up time of 71.5 ± 31.3 (range, 12 to 192) months.…”

Section: Resultsmentioning

confidence: 99%

“…Severe varus alignment was considered a hip-knee-ankle angle of greater than 180° [30]. In three studies, surgeons performed the procedure in patients with one previously failed ACLR ( n = 50) [29–31]; in three studies, they performed the procedure in patients with two previously failed ACLRs ( n = 26) [1, 5, 19]; and in one study, they performed the procedure in patients with three previously failed ACLRs ( n = 1) [23].…”

Section: Resultsmentioning

confidence: 99%

“…The graft choices included hamstring tendon autografts used in 45 patients (58%) [5, 31], quadriceps tendon autograft used in 13 patients (16.9%) [5], patellar tendon graft used in four patients (5.2%) [23, 30], and Achilles allograft used in four patients (5.2%) [30]. The graft type was unspecified in one study (14.3%; n = 11) [1].…”

Section: Resultsmentioning

confidence: 99%

“…In one study, the osteotomy was fixed using two staples inserted on either side of the patellar tendon [5]. Two studies did not specify the type of fixation used [1, 31].…”

Section: Resultsmentioning

confidence: 99%

“…Quality of life ( n = 47) based on EQ-5D scores and subjective patient satisfaction were excellent. Study-specific data has been outlined in Table 3 [1, 5, 19, 23, 29–31].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Surgical Techniques, Outcomes, Indications, and Complications of Simultaneous High Tibial Osteotomy and Anterior Cruciate Ligament Revision Surgery: A Systematic Review

Gupta

Tejpal

Shanmugaraj

et al. 2019

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

Background The incidence of primary anterior cruciate ligament reconstruction (ACLR) failure ranges from 10 to 20% in the USA. Many patient and surgical factors may lead to re-rupture after ACLR. Some authors have suggested that not correcting excessive posterior tibial slope may be a significant contributing factor to ACLR failure. Purposes We sought to systematically review the literature on outcomes, indications, and complications in patients undergoing simultaneous high tibial osteotomy (HTO) and ACLR revision. Methods PubMed, Medline, and Embase were searched in February 2018 for articles addressing simultaneous HTO and ACLR revision in skeletally mature patients. Major orthopedic conferences were screened in duplicate to find gray literature. All studies were assessed using the Methodological Index for Non-Randomized Studies. Descriptive statistics are presented where applicable. Results Seven studies satisfied inclusion. Seventy-seven patients underwent combined HTO and ACLR revision. The main indications were a posterior slope of more than 12° or severe varus malalignment. Graft types included hamstring tendon autograft (58.4%; n = 45) and quadriceps tendon graft (16.9%; n = 13). Mean delay between primary and revision surgery was 9 years. Rehabilitation protocol dictated return to running at 4 months and return to sport at 4 to 9 months. Visual analog scale pain scores reduced on average by 30 points. Subjective International Knee Documentation Committee, Tegner–Lysholm, and Tegner activity scores also improved. Fifty-eight percent (35/60) of patients showed osteoarthritis signs post-operatively. One patient (1.3%) received an arthroscopic arthrolysis of adhesions for stiffness. There were no reported incidences of graft re-rupture. Conclusion This systematic review found that the use of HTO for ACLR revision produces good post-operative functional outcomes, low complication rates, and no reported re-ruptures. The main indications for combined HTO with ACLR revision was a posterior slope of more than 12° or severe varus malalignment. Future studies with large sample sizes and long-term follow-up are required to corroborate these results. Electronic supplementary material The online version of this article (10.1007/s11420-018-9630-8) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…In one study, the osteotomy was fixed using two staples inserted on either side of the patellar tendon [5]. Two studies did not specify the type of fixation used [1, 31].…”

Section: Resultsmentioning

confidence: 99%

“…Quality of life ( n = 47) based on EQ-5D scores and subjective patient satisfaction were excellent. Study-specific data has been outlined in Table 3 [1, 5, 19, 23, 29–31].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations