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Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_11 | Pages 72 - 72
1 Dec 2020
PEHLIVANOGLU T BEYZADEOGLU T
Full Access

Introduction

Simultaneous correction of knee varus malalignment with medial open wedge high tibial osteotomy (MOWHTO) combined with anterior cruciate ligament (ACL) surgery aims to address symptomatic unicompartmental osteoarthritis in addition to restore knee stability in order to improve outcomes. The aim of this study is to present at least 5 years results of 32 patients who underwent simultaneous knee realignment osteotomy with ACL surgery.

Methods

Patients with symptomatic instability due to chronic ACL deficiency or failed previous ACL surgery together with a varus malalignment of ≥6°, previous medial meniscectomy and symptomatic medial compartment pain who were treated with MOWHTO combined with ACL surgery were enrolled. ACL surgery was performed with the anatomical single bundle all-inside technique using TightRope® RT (Arthrex, Naples, FL, USA) and MOWHTO using TomoFix® medial high tibia plate (DePuy Synthes, Raynham, MA, USA) in all cases. Patients were evaluated preoperatively and at 6 months, 12 months and annually postoperatively using the Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS) and Euroqol's Visual Analogue Score (VAS) for pain.


Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_11 | Pages 62 - 62
1 Dec 2020
Yildirim K Beyzadeoglu T
Full Access

Background

Return to sports after anterior cruciate ligament reconstruction (ACLR) is multifactorial and rotational stability is one of the main concerns. Anterolateral ligament reconstruction (ALLR) has been recommended to enhance rotational stability.

Purpose

To assess the effect of ALLR on return to sports.


Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_11 | Pages 70 - 70
1 Dec 2020
PEHLIVANOGLU T BEYZADEOGLU T
Full Access

Background

Medial open wedge high tibial osteotomy (MOWHTO) has been accepted as a highly effective option for the treatment of medial unicompartmental osteoarthritis of the knee. Although pain in the medial joint line is significantly relieved after MOWHTO, some patients complain of pain over pes anserinus after the osteotomy, necessitating implant removal for pain relief.

Purpose

The purpose of this study is to define the implant removal rate after MOWHTO due to patient complaints.