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Triple attack procedure for the treatment of recurrent injury of the anterior cruciate ligament with varus deformity of the proximal tibia
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Hatem Farhan Imam
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian orthopaedic Journal Egyptian orthopaedic Journal
Volume:
Keywords :
Triple attack procedure , , treatment , recurrent injury
Abstract:
Introduction Failure of ACL reconstruction rather than another trauma can be due to preoperative, operative, and postoperative factors which might not be addressed during the initial surgery. The presence of genu varus is an important factor of unsatisfactory results and even ACL surgery failure. The presence of varus deformity eventually leads to degenerative arthritis of the medial compartment which will be a source of chronic knee pain [1]; also, the presence of varus deformity will increase the tension on the newly reconstructed ACL which will predispose to ACL graft failure [1,2]. The role of the anterolateral ligament (ALL) in the rotational stability of the knee is not overemphasized. Anterolateral ligament injury associated with an ACL injury will be a source of postoperative rotational overload and graft failure despite perfect anatomical positioning and secure fixation of the graft [3]. To optimize the results of ACL revision surgery, a triple procedure is suggested; concomitant ACL regrafting, open medial wedge high tibial osteotomy, and anterolateral ligament reconstruction. This suggested combination will improve the outcome of the revision cases as it increases the rotational stability, decreases the tension on the newly inserted graft, and decreases the incidence of later degenerative arthritis
Author Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
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Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
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Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
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Ahmed Hatem Farhan Imam, "Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study", Egyptian orthopaedic Journal, 2022
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Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
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Department Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
More
Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
More
Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
More
Ahmed Hatem Farhan Imam, "Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study", Egyptian orthopaedic Journal, 2022
More
Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
More
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