ArticleJournal of experimental orthopaedics2025
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.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Lateral and Anterior Closing Wedge "9/9" Degree Osteotomy to Correct Both Tibia Vara and Excessive Tibial Slope.Arthroscopy techniques · 2026Article
- Anterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedure.Journal of experimental orthopaedics · 2026Article
- Intraoperative fluoroscopically assessment underestimates the posterior tibial slope in open-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- 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
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Authors and funding
7 authors.
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Abstract
Purpose: The purpose of this study was to evaluate the outcomes of patients undergoing single-stage revision anterior cruciate ligament (ACL) reconstruction (ACLR) with bone-patellar tendon-bone (BPTB) autograft, anterior closing wedge proximal tibial osteotomy (ACWPTO) and lateral extra-articular tenodesis (LET). Methods: An institutional review board-approved retrospective study of all patients who underwent a revision ACLR using a BPTB autograft, ACWPTO and LET from a single centre from 2018 to 2023 was performed. Inclusion criteria were patients >18 years of age with a failed ACLR, posterior tibial slope (PTS) of >15°, previous ACL-tunnel diameters of <14 mm, and intact ipsilateral patellar tendon. PTS and anterior tibial translation (ATT) were measured using the mechanical axis on long weight-bearing lateral tibial radiographs. Results: Nine patients, all men, were evaluated with a mean age of 31.1 years and a mean follow-up of 31.4 months. The PTS significantly decreased from 16.8° (range: 15.1°-18.9°) preoperatively to 9.3° (range: 5.0°-14.7°) post-operatively ( Conclusions: Single-stage revision ACLR using BPTB autograft, ACWPTO and LET in an ACL-deficient knee with high-grade pivot shift and increased PTS was safe and reliable, with significantly improved clinical and objective outcomes. Level of Evidence: Level IV, case series.
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