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...

High tibial osteotomy (HTO) is a valid treatment option for young active patients with medial tibiofemoral osteoarthrosis (OA) and varus deformity. Sometimes medial OA is combined with symptomatic anterior cruciate ligament (ACL) deficiency. Although isolated HTO (with possible delayed ACL reconstruction) might be indicated in the older population, young active patients may require combined HTO...

conclusions simultaneous arthroscopic acl and pcl reconstructions using hamstring tendon for combined acl and pcl injuries is a clinically effective, safe, time saving and cost-effective procedure with better patient compliance and reproducible for a timely return of motion, strength, and function with favorable outcome. background multiligamentous injuries of knee are a complex problem in orth...

Objectives: Graft failure rates following anterior cruciate ligament (ACL) reconstruction have been reported up to 30%. According the literature, one anatomic variant linked graft reinjury is a high posterior tibial slope. As result, surgeons are exploring effectiveness of slope reducing osteotomy (HTO) reduce subsequent risk. While cadaveric models indicate that this procedure decreases forces...

Background: Nowadays combined high tibial osteotomy and ACL reconstruction is accepted as a safe and effectivesurgery for patients with symptomatic varus osteoarthritis and anterior knee instability; however, the source of varusdeformity is sometimes the femoral bone. No studies have reported concomitant ACL reconstruction and distal femoralosteotomy in ACL-deficient knees wit...

Unilateral anterior cruciate ligament (ACL) tear is a common injury seen by sports medicine orthopedic surgeons. However, a bilateral simultaneous ACL injury is extremely rare and has been reported only three times in the literature. We present a young female skier with simultaneous bilateral ACL tears that were managed with staged ACL reconstruction. We then conducted a nationwide survey (Unit...

The orthopaedic surgeon who performs opening-wedge high tibial osteotomy (HTO) has to be aware of the behavior slope depending on variations in location hinge and inclination osteotomy. most important point is that changing both rotation axis cut affects slope. There a natural trend unintentionally increase when performing an HTO. However, increased been established as risk factor for primary r...

High tibial osteotomy (HTO) has traditionally been performed to correct the mechanical axis of the knee in patients with osteoarthritis (OA) of the medial compartment associated with pain and functional impairment; in these patients the restoration of the alignment was related to the regeneration of the articular cartilage that seemed apparently normal (Fujisawa et al., 1979; Odenbring et al., ...

the present review classifies and describes the multifactorial causes of anterior cruciate ligament (acl) surgery failure, concentrating on preventing and resolving such situations. the article particularly focuses on those causes that require acl revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. although primary acl reconstruction ...