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 | ||
| مقاله 3، دوره 6، شماره 3، مرداد 2018، صفحه 161-168 اصل مقاله (509.15 K) | ||
| نوع مقاله: SYSTEMATIC REVIEW | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2018.28821.1744 | ||
| نویسندگان | ||
| Michael Alexander Malahias1؛ Omid Shahpari* 2؛ Maria Kyriaki Kaseta3 | ||
| 1ATOS Private Hospital, Heidelberg, Germany | ||
| 2Orthopedic Research Center, Mashhad university of Medical Sciences, Mashhad, Iran | ||
| 3Orthopaedic Department, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece | ||
| چکیده | ||
| 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 inclusion-exclusion 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. Level of evidence: II | ||
| کلیدواژهها | ||
| Combined HTO ACL reconstruction؛ One-stage high tibial osteotomy and anterior cruciate ligament reconstruction؛ Simultaneous HTO ACL reconstruction؛ Systematic review | ||
| مراجع | ||
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1. Coventry MB. Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report. J Bone Surg Am. 1965; 47(1):984-90. 2. Amendola A, Bonasia DE. Results of HTO in medial OA of the knee. In: Amendola A, Bellemans J, Bonnin M, MacDonald S, Menetrey J, editors. Paris: Springer; 2012. 3. Insall JN, Joseph DM, Msika C. High tibial osteotomy for varusgonarthrosis. A long-term follow-up study. J Bone Joint Surg Am. 1984; 66(7):1040-8. 4. Amendola A, Bonasia DE. Results of high tibial osteotomy: review of the literature. Int Orthop. 2010; 34(2):155-60. 5. Akizuki S, Shibakawa A, Takizawa T, Yamazaki I, Horiuchi H. The long-term outcome of high tibial osteotomy: a ten- to 20-year follow-up. J Bone Joint Surg Br. 2008; 90(5):592-6. 6. Sprenger TR, Doerzbacher JF. Tibial osteotomy for the treatment of varus gonarthrosis: survival and failure analysis to twenty-two years. J Bone Joint Surg Am. 2003; 85-A(3):469-74. 7. Griffin T, Rowden N, Morgan D, Atkinson R, Woodruff P, Maddern G. Unicompartmental knee arthroplasty for the treatment of unicompartmental OA: a systematic study. ANZ J Surg. 2007; 77(4):214-21. 8. Sisto DJ, Blazina ME, Heskiaoff D, Hirsh LC. Unicompartment arthroplasty for osteoarthrosis of the knee. Clin Orthop Relat Res. 1993; 286(1):149-53. 9. Santoso MB, Wu L. Unicompartmental knee arthroplasty, is it superior to high tibial osteotomy in treating unicompartmental osteoarthritis? A metaanalysis and systemic review. J Orthop Surg Res. 2017; 12(1):50. 10. Pfitzner T, Perka C, von Roth P. unicompartmental vs. total knee arthroplasty for medial osteoarthritis. Z Orthop Unfall. 2017; 155(5):527-33. 11. O’Neill DF, James SL. Valgus osteotomy with anterior cruciate ligament laxity. Clin Orthop Relat Res. 1992; 278(1):153-9. 12. Stein BE, Williams RJ 3rd, Wickiewicz TL. Arthritis and osteotomies in anterior cruciate ligament reconstruction. Orthop Clin North Am. 2003; 34(1):169-81. 13. Lewek M, Rudolph K, Axe M, Snyder-Mackler L. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Clin Biomech (Bristol, Avon). 2002; 17(1):56-63. 14. Webster KE, Feller JA, Wittwer JE. Longitudinal changes in knee joint biomechanics during level walking following anterior cruciate ligament reconstruction surgery. Gait Posture. 2012; 36(2):167-71. 15. Kessler MA, Behrend H, Henz S, Stutz G, Rukavina A, Kuster MS. Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment. Knee Surg Sport Traumatol Arthrosc. 2008; 16(5):442-8. 16. McNamara I, Birmingham TB, Fowler PJ, Giffin JR. High tibial osteotomy: evolution of research and clinical applications--a Canadian experience. Knee Surg Sport Traumatol Arthrosc. 2013; 21(1):23-31. 17. Giffin JR, Shannon FJ. The role of the high tibial osteotomy in the unstable knee. Sport Med Arthrosc Rev. 2007; 15(1):23-31. 18. Rudan JF, Simurda MA. High tibial osteotomy. A prospective clinical and roentgenographic review. Clin Orthop Relat Res. 1990; 255(1):251-6. 19. Dejour H, Neyret P, Boileau P, Donell ST. Anterior cruciate reconstruction combined with valgus tibial osteotomy. Clin Orthop Relat Res. 1994; 299(1):220-8. 20. Marriott K, Birmingham TB, Kean CO, Hui C, Jenkyn TR, Giffin JR. Five-year changes in gait biomechanics after concomitant high tibial osteotomy and ACL reconstruction in patients with medial knee osteoarthritis. Am J Sport Med. 2015; 43(9):2277-85. 21. Bonin N, Ait Si Selmi T, Donell ST, Dejour H, Neyret P. Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up. Knee. 2004; 11(6):431-7. 22. Mehl J, Paul J, Feucht MJ, Bode G, Imhoff AB, Südkamp NP, et al. ACL deficiency and varus osteoarthritis: high tibial osteotomy alone or combined with ACL reconstruction? Arch Orthop Trauma Surg. 2017; 137(2):233-40. 23. Herman BV, Giffin JR. High tibial osteotomy in the ACLdeficient knee with medial compartment osteoarthritis. J Orthop Traumatol. 2016; 17(3):277-85. 24. Mancuso F, Hamilton TW, Kumar V, Murray DW, Pandit H. Clinical outcome after UKA and HTO in ACL deficiency: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016; 24(1):112-22. 25. Li Y, Zhang H, Zhang J, Li X, Song G, Feng H. Clinical outcome of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction for medial compartment osteoarthritis in young patients with anterior cruciate ligament-deficient knees: a systematic review. Arthroscopy. 2015; 31(3):507-19. 26. Schuster P, Schulz M, Richter J. Combined biplanar high tibial osteotomy, anterior cruciate ligament reconstruction, and abrasion/microfracture in severe medial osteoarthritis of unstable varus knees. Arthroscopy. 2016; 32(2):283-92. 27. Arun GR, Kumaraswamy V, Rajan D, Vinodh K, Singh AK, Kumar P, et al. Long-term follow up of singlestage anterior cruciate ligament reconstruction and high tibial osteotomy and its relation with posterior tibial slope. Arch Orthop Trauma Surg. 2016; 136(4):505-11. 28. Vaishya R, Vijay V, Jha GK, Agarwal AK. Prospective study of the anterior cruciate ligament reconstruction associated with high tibial opening wedge osteotomy in knee arthritis associated with instability. J Clin Orthop Trauma. 2016; 7(4):265-71. 29. Trojani C, Elhor H, Carles M, Boileau P. Anterior cruciate ligament reconstruction combined with valgus high tibial osteotomy allows return to sports. Orthop Traumatol Surg Res. 2014; 100(2):209-12. 30. Zaffagnini S, Bonanzinga T, Grassi A, Marcheggiani Muccioli GM, Musiani C, Raggi F, et al. Combined ACL reconstruction and closing-wedge HTO for varus angulated ACL-deficient knees. Knee Surg Sports Traumatol Arthrosc. 2013; 21(4):934-41. 31. Noyes FR, Schipplein OD, Andriacchi TP, Saddemi SR, Weise M. The anterior cruciate ligament-deficient knee with varus alignment. An analysis of gait adaptations and dynamic joint loadings. Am J Sport Med. 1992; 20(6):707-16. 32. Shahpari O, FallahKezabi M, Kalati HH, Bagheri F, Ebrahimzadeh MH. Clinical outcome of anatomical transportal arthroscop-ic anterior cruciate ligament reconstruction with hamstring tendon autograft. Arch Bone Jt Surg. 2018; 6(2):130-9. 33. van de Pol GJ, Arnold MP, Verdonschot N, van Kampen A. Varus alignment leads to increased forces in the anterior cruciate ligament. Am J Sport Med. 2009; 37(3):481-7. 34. Kean CO, Birmingham TB, Garland JS, Jenkyn TR, Ivanova TD, Jones IC, et al. Moments and muscle activity after high tibial osteotomy and anterior cruciate ligament reconstruction. Med Sci Sports Exerc. 2009; 41(3):612-9. | ||
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