Favorable clinical outcomes of simultaneous ACL reconstruction and UKA or HTO: A systematic surveillance

Junya Itou; Masafumi Itoh; Umito Kuwashima; Shinya Imai; Ken Okazaki; Kiyotaka Iwasaki

Journal of Joint Surgery and Research (Dec 2023)

Favorable clinical outcomes of simultaneous ACL reconstruction and UKA or HTO: A systematic surveillance

Junya Itou,
Masafumi Itoh,
Umito Kuwashima,
Shinya Imai,
Ken Okazaki,
Kiyotaka Iwasaki

Affiliations

Junya Itou: Department of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan; Cooperative Major in Advanced Biomedical Sciences, Graduate School of Advanced Science and Engineering, Joint Graduate School of Tokyo Women's Medical University, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan
Masafumi Itoh: Department of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
Umito Kuwashima: Department of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
Shinya Imai: Department of Integrative Bioscience and Biomedical Engineering, Graduate School of Advanced Science and Engineering, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan
Ken Okazaki: Department of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan; Department of Integrative Bioscience and Biomedical Engineering, Graduate School of Advanced Science and Engineering, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan
Kiyotaka Iwasaki: Cooperative Major in Advanced Biomedical Sciences, Graduate School of Advanced Science and Engineering, Joint Graduate School of Tokyo Women's Medical University, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan; Department of Integrative Bioscience and Biomedical Engineering, Graduate School of Advanced Science and Engineering, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan; Institute for Medical Regulatory Science, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan; Department of Modern Mechanical Engineering, School of Creative Science and Engineering, Waseda University, 3-4-1 Ohkubo, Shinjuku, Tokyo, 169-8555, Japan; Corresponding author. Cooperative Major in Advanced Biomedical Sciences, Graduate School of Advanced Science and Engineering, Joint Graduate School of Tokyo Women's Medical University, Waseda University, 2-2 Wakamatsu-cho, Shinjuku, Tokyo, 162-8480, Japan. Tel.: +81 3 5369 7334; fax: +81 3 5269 7618.

Journal volume & issue: Vol. 1, no. 1
pp. 201 – 208

Abstract

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Purpose: Outcomes after combination of anterior cruciate ligament (ACL) reconstruction (ACLR) with unicompartmental knee arthroplasty (UKA) or high tibial osteotomy (HTO) have been widely reported, but previous systematic reviews have included articles published before 2000 and do not necessarily reflect recent trends. We conducted a thorough investigation to address (1): What are the recent surgical trends in simultaneous ACLR and UKA or HTO? and (2) What are the issues in these surgeries? based on a comprehensive systematic analysis. Methods: A systematic surveillance was performed in accordance with the PRISMA guideline. The inclusion criteria were as follows: simultaneous ACLR and UKA or HTO for medial osteoarthritis (OA) with ACL deficiency; clinical outcomes and complications recorded; publication date after 2000.A total of 1466 potentially relevant articles were identified; after exclusions, 31 articles that included 744 knees were analyzed. Fourteen articles included 330 knees underwent simultaneous ACLR and UKA (UKA group) and 17 articles included 414 knees underwent simultaneous ACLR and HTO (HTO group). Results: Overall, complications were found in 14 knees (4.2%) in the UKA group and 47 knees (11.3%) in the HTO group. Re-rupture of the ACL was observed in only the HTO group (6 knees: 1.4%). Revision to TKA occurred in 8 knees (2.4%) in the UKA group and 1 knee (0.2%) in the HTO group. No standardized outcome measures for clinical assessment were used for all studies. Conclusion: The systematic surveillance of studies published since 2000 on the outcomes and complications of simultaneous ACLR and UKA or HTO for medial OA with ACL deficiency indicates an increasing number of reports on simultaneous ACLR and HTO or UKA in recent years. Favorable clinical results were achieved in both treatment groups.

Published in Journal of Joint Surgery and Research

ISSN: 2949-7051 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery
Website: https://www.sciencedirect.com/journal/journal-of-joint-surgery-and-research

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