tailieunhanh - Journal of Orthopaedic Surgery and ResearchResearch articleBioMed CentralOpen AccessACL

Journal of Orthopaedic Surgery and Research Research article BioMed Central Open Access ACL reconstruction with unicondylar replacement in knee with functional instability and osteoarthritis Srikrishna RSR Krishnan* and Ray Randle Address: Department of Orthopaedics, John Flynn Medical center, Inland Drive, Tugun, Qld - 4224, Australia Email: Srikrishna RSR Krishnan* - dr_skrk@; Ray Randle - rayraya@ * Corresponding author Published: 17 December 2009 Journal of Orthopaedic Surgery and Research 2009, 4:43 doi: Received: 18 August 2009 Accepted: 17 December 2009 This article is available from: © 2009 Krishnan and Randle; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution. | Journal of Orthopaedic Surgery and Research BioMed Central Open Access Research article ACL reconstruction with unicondylar replacement in knee with functional instability and osteoarthritis Srikrishna RSR Krishnan and Ray Randle Address Department of Orthopaedics John Flynn Medical center Inland Drive Tugun Qld - 4224 Australia Email Srikrishna RSR Krishnan - dr_skrk@ Ray Randle - rayraya@ Corresponding author Published 17 December 2009 Received 18 August 2009 Journal of Orthopaedic Surgery and Research 2009 4 43 doi l749-799X-4-43 Accepted I7 December 2009 This article is available from http content 4 1 43 2009 Krishnan and Randle licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Severe symptomatic osteoarthritis in young and active patients with pre-existing deficiency of the anterior cruciate ligament and severe functionally instability is a difficult subgroup to manage. There is considerable debate regarding management of young patients with isolated unicompartment osteoarthritis and concomitant ACL deficiency. A retrospective analysis of was done in 9 patients with symptomatic osteoarthritis with ACL deficiencies and functional instability that were treated with unicompartment knee arthroplasty and ACL reconstruction between April 2002 and June 2005. The average arc of flexion was 119 range 85 to 135 preoperatively and 125 range 105 to 140 . There were no signs of instability during the follow up of patients. No patients in this group were reoperated. In this small series we have shown that instability can be corrected and pain relieved by this combined procedure. Background Isolated unicompartmental osteoarthritis of the knee is common. Operative treatment .

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