|
Year |
2004 |
|---|---|
|
Question Number |
148. |
|
Category |
Sports Medicine |
Question
A patient who underwent anterior cruciate ligament (ACL) reconstruction 2 years ago now reports instability and medial joint line pain. Examination reveals varus instability and increased external rotation at 300 of flexion. Results of Lachman’s and posterior drawer tests are negative. Radiographs show a mechanical axis of 110 of varus, with spurring of the medial tibial plateau. What is the next most appropriate step in treatment?
1- Revision ACL reconstruction and posterior cruciate ligament (PCL) reconstruction
2- Distal femoral osteotomy
3- Distal femoral osteotomy and PCL reconstruction
4- High tibial osteotomy
5- High tibial osteotomy and posterolateral reconstruction
Figures
Answer (click for answer)
5
Reference: