Posterolateral reconstruction combined with one-stage tibial valgus osteotomy: Technical considerations and functional results

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorHELITO, Camilo Partezani
dc.contributor.authorSOBRADO, Marcel Faraco
dc.contributor.authorGIGLIO, Pedro Nogueira
dc.contributor.authorBONADIO, Marcelo Batista
dc.contributor.authorDEMANGE, Marco Kawamura
dc.contributor.authorPECORA, Jose Ricardo
dc.contributor.authorCAMANHO, Gilberto Luis
dc.contributor.authorANGELINI, Fabio Janson
dc.date.accessioned2019-06-26T17:31:02Z
dc.date.available2019-06-26T17:31:02Z
dc.date.issued2019
dc.description.abstractBackground: To report the functional outcomes and complications from reconstructing the knee posterolateral complex (PLC), associated with one-stage opening-wedge tibial valgus osteotomy, and discuss the technical feasibility of this procedure. Methods: Five patients with chronic PLC injuries and varus deviation of the mechanical axis, associated with central pivot injuries or not, underwent medial opening-wedge high tibial osteotomy combined with PLC reconstruction. The lateral collateral ligament, popliteal tendon, and popliteofibular ligament were reconstructed using a single femoral tunnel. Patients were assessed on physical examination, range-of-motion and functional scales, and radiographs. The International Knee Documentation Committee (IKDC) score, Lysholm score, and Knee Injury and Osteoarthritis Outcome score (KOOS) were determined. Results: Five patients were evaluated: four presented with central pivot injury, and one had an isolated PLC injury. The mean time between injury and surgery was 40 +/- 6.5 months (+/- is indicating standard deviation value). Four patients had minimal residual instability on physical examination, with a lateral opening at varus stress of +/- 3 + at 30 degrees flexion. The means of the IKDC score, Lysholm score, and KOOS were 67.8 +/- 9.2, 83.0 +/- 9.3, and 79.2 +/- 5.9, respectively. All patients showed satisfactory consolidation of osteotomy in 2.6 +/- 0.9 months. Conclusions: The results of this series indicate that one-stage PLC ligament reconstruction associated with medial opening-wedge valgus osteotomy is feasible and shows satisfactory functional results with a low rate of complications. A one-stage procedure might be indicated for young patients with high functionality and more pronounced posterolateral instabilities.eng
dc.description.indexMEDLINEeng
dc.identifier.citationKNEE, v.26, n.2, p.500-507, 2019
dc.identifier.doi10.1016/j.knee.2018.12.001
dc.identifier.eissn1873-5800
dc.identifier.issn0968-0160
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32503
dc.language.isoeng
dc.publisherELSEVIER SCIENCE BVeng
dc.relation.ispartofKnee
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCIENCE BVeng
dc.subjectKnee dislocationeng
dc.subjectMultiligament injuryeng
dc.subjectPosterolateral complexeng
dc.subjectPosterolateral corner reconstructioneng
dc.subjectSingle femoral tunneleng
dc.subjectTibial valgus osteotomyeng
dc.subject.otheranterior cruciate ligamenteng
dc.subject.othercornereng
dc.subject.otherkneeeng
dc.subject.otheroutcomeseng
dc.subject.otherrepaireng
dc.subject.wosOrthopedicseng
dc.subject.wosSport Scienceseng
dc.subject.wosSurgeryeng
dc.titlePosterolateral reconstruction combined with one-stage tibial valgus osteotomy: Technical considerations and functional resultseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus9
hcfmusp.contributor.author-fmusphcCAMILO PARTEZANI HELITO
hcfmusp.contributor.author-fmusphcMARCEL FARACO SOBRADO
hcfmusp.contributor.author-fmusphcPEDRO NOGUEIRA GIGLIO
hcfmusp.contributor.author-fmusphcMARCELO BATISTA BONADIO
hcfmusp.contributor.author-fmusphcMARCO KAWAMURA DEMANGE
hcfmusp.contributor.author-fmusphcJOSE RICARDO PECORA
hcfmusp.contributor.author-fmusphcGILBERTO LUIS CAMANHO
hcfmusp.contributor.author-fmusphcFABIO JANSON ANGELINI
hcfmusp.description.beginpage500
hcfmusp.description.endpage507
hcfmusp.description.issue2
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.pubmed30635152
hcfmusp.origem.scopus2-s2.0-85059584813
hcfmusp.origem.wosWOS:000470052400029
hcfmusp.publisher.cityAMSTERDAMeng
hcfmusp.publisher.countryNETHERLANDSeng
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hcfmusp.scopus.lastupdate2024-06-09
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