Results of Anterior Cruciate Ligament Reconstruction with Unicondylar Arthroplasty for Medial Compartment Knee Osteoarthritis combined with Anterior Instability

전방 불안정성과 동반된 슬관절 내측 구획 진행성 관절염환자에서 전방십자인대 재건술 및 인공 관절 부분 치환술의 결과 - 3예 보고 -

  • Lee, Chul Hyung (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Song, In Soo (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Ji, Jong Hun (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Kim, Tae In (Department of Orthopedic Surgery, Sun General Hospital)
  • Received : 2013.01.16
  • Accepted : 2013.02.10
  • Published : 2013.02.28

Abstract

Three cases who had medial compartment osteoarthritis of the knee (Kellgrene-Laurence grade 3 and Outerbridge grade 4) and anterior instability of the knee due to rupture of the anterior cruciate ligament in relative young ages underwent staged anterior cruciate ligament reconstruction followed by medial unicondylar arthroplasty in 2 cases and simultaneous anterior cruciate ligament reconstruction and unicondylar arthroplasty. We evaluated clinical results some kinds of preoperative and postoperative International Knee Documentation Committee (IKDC), Lysholm score and last follow-up hospital for special surgery (HSS), knee society score (KSS). We consider that medial unicondylar arthroplasty with staged or simultaneous anterior cruciate ligament reconstruction is very good option of the treatment for the anterior instability and pain from advanced arthritis.