The short-term outcome of surgical treatment for painful varus @entity625 in association with chronic XXXX .

@entity1 @entity571 @entity625 @entity1347 @entity51
A review of @entity1 with anterior cruciate ligament (ACL) insufficiency, symptomatic medial compartment @entity571 , and varus malalignment of the knee was performed. Twenty-six @entity1 met the inclusion criteria. Twelve @entity1 were treated with a valgus closing-wedge high tibial osteotomy (group 1). Fourteen @entity1 were treated with a valgus closing-wedge high tibial osteotomy combined with arthroscopic ACL reconstruction (group 2). Twenty-five @entity1 were available for follow-up at a minimum of 2 years. For group 1 @entity1 , high tibial osteotomy alone had no effect on the Lachman test or pivot shift phenomena. For group 2 @entity1 , combined high tibial osteotomy/ACL reconstruction resulted in a grade 1 Lachman test in 11 of 13 @entity1 , and a negative pivot shift in 12 of 13 @entity1 . No @entity51 were noted in either group. Prior to surgery, 14 (56%) @entity1 participated in recreational sports; 23 (92%) @entity1 were able to participate in recreational sports at follow-up. Radiographs demonstrated osteoarthritic progression in group 1 and 2 @entity1 (P<.05). The results of this study suggest that high tibial osteotomy alone and combined high tibial osteotomy/ACL reconstructions are effective in the surgical treatment of varus, @entity1347 knees with symptomatic medial compartment @entity625 ; however, good or excellent results were more often seen after the combined procedure.
