ArticleJournal of orthopaedic case reports2025
One-stage Anterior Cruciate Ligament Reconstruction with Medial Open Wedge High Tibial Osteotomy - A Surgical Technique.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Anterior cruciate ligament (ACL) deficiency in the presence of varus malalignment predisposes patients to accelerated medial compartment osteoarthritis (OA) and graft failure after isolated reconstruction. High tibial osteotomy (HTO) is an established method to realign the mechanical axis and offload the medial compartment. Performing ACL reconstruction (ACLR) and HTO in a single stage addresses both instability and malalignment simultaneously, minimizing the need for staged procedures and rehabilitation. Technique: The procedure begins with diagnostic arthroscopy and femoral as well as tibial tunnel preparation before osteotomy, ensuring adequate knee hyperflexion. A hamstring graft is harvested and prepared, followed by a medial opening wedge HTO using a posteromedially placed osteotomy plate. Posterior screws are inserted first, leaving the anterior holes vacant until tibial tunnel identification. A metal dilator protects the tibial tunnel during anterior screw placement. The prepared graft is then passed, fixed with femoral and tibial cortical fixation or interference screws, and cancellous bone is packed into the tunnel to promote healing. Conclusion: Single-stage ACLR with medial opening wedge HTO provides simultaneous correction of instability and malalignment in ACL-deficient varus knees. With careful surgical sequencing and technical modifications - especially early tunnel drilling and posteromedial plate placement - the procedure is safe, reproducible, and offers a practical solution for delaying OA progression while restoring knee stability.
Indexed as
Identifiers
What OpenQuestion holds
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.