Single-Stage Primary Anterior Cruciate Ligament Reconstruction With Slope-Reducing Anterior Closing-Wedge Proximal Tibial Osteotomy and a Lateral Extra-Articular Tenodesis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40936544.
- Also identified by DOI 10.1016/j.eats.2025.103674 and PMC identifier 12420602.
- Licence recorded as CC BY-NC-ND.
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Abstract
Anterior cruciate ligament (ACL) tears with known risk factors for anterior cruciate ligament reconstruction (ACLR) graft failure, such as elevated posterior tibial slope ≥12°, require a comprehensive treatment approach. In primary ACLRs, slope-reducing anterior closing-wedge proximal tibial osteotomies are not frequently necessary; however, when slope is severely increased (>18°), they should be considered. This Technical Note describes a single-stage combined primary ACLR, anterior closing-wedge proximal tibial osteotomy, and lateral extra-articular tenodesis in a patient with a chronic ACL tear with increased posterior tibial slope.
Anatomy
- tibia