ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2022
Anterior Closing Wedge Osteotomy for Failed Anterior Cruciate Ligament Reconstruction: State of the Art.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Management of increased posterior tibial slope in ACL deficiency: A narrative review and recommendation of the Osteotomy Committee of the German Knee Society.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Development and radiographic evaluation of a normalised guide-pin orientation abacus for anterior closing-wedge tibial osteotomy: Comparison with fixed-ratio and osteotomy-depth methods.Journal of experimental orthopaedics · 2026Article
- A Novel Assessment of Infratubercle Sagittal Proximal Tibial Morphology and Relationship to Full Length Posterior Tibial Slope: Lateral Infratubercle Angle.Orthopaedic journal of sports medicine · 2026Article
- A Research Hotspot-Guided Meta-Analysis of Anterior Closing-Wedge High Tibial Osteotomy in Revision Anterior Cruciate Ligament Reconstruction.Bioengineering (Basel, Switzerland) · 2026Article
- How to Measure Posterior Tibial Slope for Anterior Closing Wedge Osteotomy.Arthroscopy techniques · 2026Article
- Article
- Robotically Assisted Anterior Closing Wedge High Tibial Osteotomy: A Surgical Technique Proof of Concept.Arthroscopy techniques · 2025Article
- Combined revision ACL reconstruction with slope-correction osteotomy and lateral extra-articular tenodesis improves stability in patients with high posterior tibial slope and pivot shift.Journal of experimental orthopaedics · 2025Article
- The Effect of Anterior Closing Wedge Slope-Reducing Osteotomy on Coronal Alignment-Effect of Osteotomy Technique, Starting Point, and Degree of Correction.Orthopaedic journal of sports medicine · 2025Article
- Infratuberositary slope-decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Slope-Reducing Tibial Plateau-Leveling Osteotomy.Arthroscopy techniques · 2025Article
- The application of proximal tibial anterior closing wedge osteotomy in anterior cruciate ligament reconstruction.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Simultaneous High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction in knees with Bony Frontal and/or Sagittal Deformities: Review of the Current Literature.The archives of bone and joint surgery · 2024Article
- Trapezoidal Wedge Osteotomy with Ligament Reconstruction for Chronic Instability following Failed ACLR.Indian journal of orthopaedics · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The sagittal anatomy of the proximal tibia has a bearing on the forces exerted on the cruciate ligaments. A high posterior tibial slope is now a well-known risk factor causing failure of anterior cruciate ligament (ACL) reconstructions. The posterior slope can be calculated on short or full-length radiographs, MRI scans, or three-dimensional CT scans. Reducing the slope surgically by a sagittal tibial osteotomy is biomechanically protective for the ACL graft. An anterior closing wedge osteotomy may be contemplated when the lateral tibial slope is greater than 12°, in the setting of ACL reconstruction failure(s). Careful surgical planning to calculate the correction, taking into account knee hyperextension and patella height, is critical to avoid complications. It can be done above, at, or below the tibial tuberosity level. A transtuberosity correction can be done with or without a tibial tubercle osteotomy. This complex surgery can be conducted safely by meticulous execution to protect the posterior hinge and neurovascular structures and achieving stable fixation with staples. The limited literature available justifies the usage of anterior closing wedge osteotomy in appropriately selected patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.