ArticleArthroscopy techniques2025
Tibial Infratubercle Anterior Closing-Wedge Slope-Reducing Osteotomy With Combined Revision Anterior Cruciate Ligament Reconstruction.
Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Elevated posterior tibial slope (PTS) has been identified as a risk factor for failure of primary and revision anterior cruciate ligament (ACL) reconstruction. Anterior closing-wedge slope-reducing high tibial osteotomy (ACW-SRO) has been shown to decrease PTS, decrease ACL graft strain, and decrease static anterior tibial translation. One approach is an infratubercle ACW-SRO, which preserves the tibial tubercle and extensor mechanism, allows for concurrent procedures, and reduces complications related to patellar height and/or tunnel placement. The purpose of this study is to present technical and planning tips that are critical to executing a successful infratubercle ACW-SRO. Preoperative planning, precise execution, and plate fixation are critical to avoid complications such as hinge fracture, neurovascular injury, and nonunion. This technique is a safe and effective option for patients with elevated PTS and failed ACL reconstruction, although further studies are needed to assess long-term outcomes.
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