Clinical Observation For Combination Treatment Of Anterior Cruciate Ligament Injury Combined With Varus Osteoarthritis Of The Knee

Objectives Analysis of comparative HTO combined with ACL reconstruction combined surgery and pure HTO and pure ACLR for the treatment of knee varus osteoarthritis of the combined anterior cruciate ligament injury in the clinical efficacy. Methods Collected during the period January 2015 to January 2012, In the SecondHospital of Tangshan joint of HTO in high tibia osteotomy, in the treatment of varus knee osteoarthritis combined with cross ligament injury medical records of patients with a total of 72 cases. The function of the knee joint was basically the same, and it was divided into 3 groups according to the operation method. Among them, 30 cases were treated with HTO and ACLR, 22 cases were treated with simple HTO, 20 cases were treated with simple ACLR. Preoperative and postoperative 3 months, 6 months, 12 months and last through the IKDC score, Lysholm score of knee joint and FTA, Marshall ligament injury of the knee joint score compared knee joint function improvement. Results All patients were followed up for an average of 15.5 months(12 to 26 months).The lines of force of the lower limbs returned to normal after combined surgery of the patients in the treatment group, medial knee pain disappeared or relieved, Lachman test was negative, no joint instability; simple HTO group line of force of the lower limbs recovered to normal, knee medial hypertension symptoms improved, there are still joint instability, Lachman test positive. Conclusions HTO+ACL reconstruction combined operation in the treatment of varusknee OA associated with ACL injury method, in on the basis of the traditional simple HTO were improved at the same time, through the improved operation technique and correct postoperative defect of ACL deficiency, in hard clinical application in good early and mid-term efficacy, long-term therapeutic effect needs to be further observed.