ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025
Infratuberositary slope-decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- 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
- A simple planning tool for tibial slope osteotomy-Osteotomy depth is a precise parameter to determine wedge height.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Anterior open wedge high tibial osteotomy for slope correction as a successful method in PCL insufficiency-Radiological and clinical results of a cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Bioplating demonstrates increasing micromovement during cyclic loading after anterior closed wedge high tibial osteotomy despite no significant difference in failure load compared to angle-stable plate fixation.Journal of experimental orthopaedics · 2026Article
- Advances in anterior cruciate ligament reconstruction: Risk stratification, graft choices, and functional recovery in 2026.Journal of experimental orthopaedics · 2026Review
- Significant changes of the mechanical medial proximal tibial angle in dependence of internal and external rotation of the hinge axis in slope correcting infratuberositary tibial deflexion osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Individualized indication for slope changing osteotomy in ACL insufficiency: the Avalanche Concept.Archives of orthopaedic and trauma surgery · 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
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8 authors.
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Abstract
purposeDifferent techniques of slope-decreasing anterior closed-wedge proximal tibial osteotomy (ACW-PTO) have been described. To determine the peri- and post-operative complication rate and obtain data on bone healing in ACW-PTO with an infratuberositary approach.
methodsA total of 170 consecutive ACW-PTO of two sports-orthopaedic centres were retrospectively evaluated (97 and 73, respectively). Routine follow-up was performed after 6 weeks and was available in 166 cases (97.7%). Medical charts and x-rays of these cases were reviewed with regard to technique-specific complications. Lateral x-rays (n = 155) at 6 weeks post-operatively were evaluated with regard to bone healing (completely healed, partially healed or with no or delayed signs of bone healing). A multivariate binary logistic regression was performed to detect factors that influence bone healing.
resultsThere was one case with haematoma and superficial wound-healing problems after 5 weeks with progression to a deep wound infection and revision surgery (plate exchange) at 11 weeks after the index surgery. One case with delayed bone healing was treated with plate exchange combined with revision anterior cruciate ligament reconstruction after 4 months. The further course of both cases was uneventful. No other complications were observed. Therefore, the overall complication rate was 1.2% (2 out of 166). Radiologic evaluation at 6 weeks showed complete healing in 104 cases (67.1%), partial healing in 50 cases (32.3%) and delayed healing only in the aforementioned case (0.6%), respectively. All cases of partial healing showed complete healing at 12 weeks. In regression analysis, a completely closed osteotomy (odds ratio [OR] = 3.5, p = 0.003) and compression of the osteotomy (OR = 2.5, p = 0.026) were significantly associated with complete bone healing at 6 weeks.
conclusionsACW-PTO using an infratuberositary approach is very safe with regard to complication rate and shows rapid bone healing. The osteotomy should be completely closed and compression should be applied for optimal bone healing. STUDY
designCase series with pooled data of two centres. LEVEL OF EVIDENCE: Level 4.
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