Tibial Infratubercle Anterior Closing-Wedge Slope-Reducing Osteotomy With Combined Revision Anterior Cruciate Ligament Reconstruction

Abreu R, Aboulafia A, Dickschas J, Ollivier M, Mansour A (2025)

Publication Language: English

Publication Type: Journal article

Publication year: 2025

Journal

Arthroscopy Techniques Elsevier Inc.

Book Volume: 14

Article Number: 103890

Journal Issue: 11

DOI: 10.1016/j.eats.2025.103890

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.

Authors with CRIS profile

Jörg Dickschas Medizinische Fakultät

Involved external institutions

University of Texas Health Science Center at Houston (UTHealth Houston)

United States (USA) (US) Aix-Marseille University / Aix-Marseille Université

How to cite

APA:

Abreu, R., Aboulafia, A., Dickschas, J., Ollivier, M., & Mansour, A. (2025). Tibial Infratubercle Anterior Closing-Wedge Slope-Reducing Osteotomy With Combined Revision Anterior Cruciate Ligament Reconstruction. Arthroscopy Techniques, 14(11). https://doi.org/10.1016/j.eats.2025.103890

MLA:

Abreu, Ricardo, et al. "Tibial Infratubercle Anterior Closing-Wedge Slope-Reducing Osteotomy With Combined Revision Anterior Cruciate Ligament Reconstruction." Arthroscopy Techniques 14.11 (2025).

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