Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Knee
Abstract number: 23947
MANAGEMENT OF ACL INJURIES IN VARUS KNEE
Hatem Galal SAID, Hesham EL-KADY
Arthroscopy and Sports Medicine Unit, Orthopaedic Department, Assiut University,
Assiut (EGYPT)
Failure to diagnose an injury of the lateral and postrolateral structures of the knee in
a patient who has a known tear of the ACL can result in failure of the reconstructed
ligament. Between March 2006 and January 2009, 36 patients with varus knees and
ACL injury have been treated in our institute with average follow up 29 month
(ranging from 8 to 42 months). Management differed according to the amount of
lateral laxity. Nine patients had only ACL reconstruction, 12 patients had ACL
reconstruction and valgus HTO 8 patients had valgus HTO, ACL reconstruction and
reconstruction of the Postrolateral corner structures and lastly 7 patients had only
valgus HTO.There were minor complications: 2 cases had post-traumatic lateral
popleteal Nerve injury, one recovered and the other one treated by ankle fusion 8
months later. 2 cases had postoperative arthrofibrosis treated at 4 months by
arthroscopic arthrolysis and 4 patients had persistent limitation of flexion average 20
degrees.
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