Outcomes of Anterior Cruciate Ligament Reconstruction With and Without High Tibial Osteotomy in Knees With Varus Malalignment. Comparative Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- ACL - Anterior Cruciate Ligament Deficiency
- Sponsor
- Mostafa Hassanein, Msc
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Lysholm knee score
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to compare the results of single-stage anterior cruciate ligament reconstruction combined with high tibial osteotomy and anterior cruciate ligament reconstruction alone in knees with varus malalignment and anterior cruciate ligament deficiency. Evaluation will be clinically, radiologically and time needed to return to pre injury activity level. Our Hypothesis: Simultaneous anterior cruciate ligament reconstruction and high tibial osteotomy provides good functional scores, low rate of graft failure and early return to pre injury activity level with minimal added morbidity.
Investigators
Mostafa Hassanein, Msc
principal investigator
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Age between 20 and
- •Knee varus malalignment 7-10°.
- •ACL injury with clinical anterior instability confirmed by MRI.
Exclusion Criteria
- •Osteoarthritis (Kellgren-Lawrence grade IV).
- •Inflammatory joint disease.
- •Knee flexion \< 120°
- •Knee fixed flexion deformity \> 10°.
- •Any ligamentous or meniscal knee injury other than ACL injury.
Outcomes
Primary Outcomes
Lysholm knee score
Time Frame: 6 month post operative
knee score from 0 to 100 where a higher score means better outcome.
Return to pre injury level
Time Frame: through study completion, an average of 7 months
time needed by the patient in months post operative to return to pre injury activity level
Tegner activity level
Time Frame: 6 months post operative
activity level from 0 to 11 where 11 means highest level
Secondary Outcomes
- knee range of motion(pre operative, 1 month, 3months, and 6 months post operative)
- knee stability(pre operative, 1 month, 3months, and 6 months post operative)