Patients With Acl Injury and Varus Knee Will Undergo Acl Reconstruction Alone, or Combined With High Tibial Osteotomy in the Same Session.

Mostafa Hassanein, Msc

Status: Completed

Conditions: ACL - Anterior Cruciate Ligament Deficiency; ACL Injury; Knee Deformity; Varus Deformity of Tibia (Disorder)

Treatments: Procedure: anterior cruciate ligament reconstruction; Procedure: medial opening wedge high tibial osteotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05817084

FMASU MD80/2022

Details and patient eligibility

About

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.

Enrollment: 24 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 20 and 50.
• 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°.
• BMI >30
• Any ligamentous or meniscal knee injury other than ACL injury.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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24 participants in 2 patient groups

12 patients with varus knee malalignment and acl deficiency under went acl reconstruction and hto

Active Comparator group

Description:

anterior cruciate ligament reconstruction and medial opening wedge high tibial osteotomy in the same session

Treatment:

Procedure: medial opening wedge high tibial osteotomy

Procedure: anterior cruciate ligament reconstruction

12 patients with varus knee malalignment and acl deficiency underwent acl reconstruction

Active Comparator group

Description:

anterior cruciate ligament reconstruction alone.

Treatment:

Procedure: anterior cruciate ligament reconstruction