Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees
Graft failure after anterior cruciate ligament reconstruction is multifactorial, with increased tibia slope identified as one of the risk factors. Several slope-correcting osteotomies have been proposed to address this in revision surgery, with most of the procedures using a supratuberosity or trans...
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Elsevier
2025-01-01
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Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002780 |
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author | Matthieu Ollivier, M.D. Wiemi Douoguih, M.D. Karam Mark Karam, M.D. Shintaro Onishi, M.D., Ph.D. Te-Feng Arthur Chou, M.D. |
author_facet | Matthieu Ollivier, M.D. Wiemi Douoguih, M.D. Karam Mark Karam, M.D. Shintaro Onishi, M.D., Ph.D. Te-Feng Arthur Chou, M.D. |
author_sort | Matthieu Ollivier, M.D. |
collection | DOAJ |
description | Graft failure after anterior cruciate ligament reconstruction is multifactorial, with increased tibia slope identified as one of the risk factors. Several slope-correcting osteotomies have been proposed to address this in revision surgery, with most of the procedures using a supratuberosity or transtuberosity approach. Although satisfactory results have been presented, severe complications involving the extensor mechanism can occur. In this Technical Note, an infratuberosity anterior closing-wedge high tibial osteotomy is demonstrated for slope correction in anterior cruciate ligament–deficient knees in the revision setting. |
format | Article |
id | doaj-art-4d01a0861342434fb0705aff3bead0fa |
institution | Kabale University |
issn | 2212-6287 |
language | English |
publishDate | 2025-01-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroscopy Techniques |
spelling | doaj-art-4d01a0861342434fb0705aff3bead0fa2025-01-30T05:14:04ZengElsevierArthroscopy Techniques2212-62872025-01-01141103153Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient KneesMatthieu Ollivier, M.D.0Wiemi Douoguih, M.D.1Karam Mark Karam, M.D.2Shintaro Onishi, M.D., Ph.D.3Te-Feng Arthur Chou, M.D.4Sainte-Marguerite Hospital, Institute for Locomotion, Department of Orthopedics and Traumatology, Aix-Marseille University, AP-HM, CNRS, ISM, Marseille, France; Department of Orthopedics and Traumatology, Institute of Movement and Locomotion, St. Marguerite Hospital, Marseille, France; Address correspondence to Matthieu Ollivier, M.D., Department of Orthopaedics and Traumatology, Institute of Movement and Locomotion, St Marguerite Hospital, Aix Marseille Univ, APHM, CNRS, ISM, 279 Boulevard Sainte Marguerite, BP 29, Marseille 13274, France.MedStar Lafayette Orthopaedic and Sports Medicine Center, MedStar Washington Hospital Center, Washington, District of Columbia, U.S.A.; Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, U.S.A.; Georgetown University School of Medicine, Washington, District of Columbia, U.S.A.Sainte-Marguerite Hospital, Institute for Locomotion, Department of Orthopedics and Traumatology, Aix-Marseille University, AP-HM, CNRS, ISM, Marseille, France; Department of Orthopedics and Traumatology, Institute of Movement and Locomotion, St. Marguerite Hospital, Marseille, FranceSainte-Marguerite Hospital, Institute for Locomotion, Department of Orthopedics and Traumatology, Aix-Marseille University, AP-HM, CNRS, ISM, Marseille, France; Department of Orthopedics and Traumatology, Institute of Movement and Locomotion, St. Marguerite Hospital, Marseille, FranceMedStar Lafayette Orthopaedic and Sports Medicine Center, MedStar Washington Hospital Center, Washington, District of Columbia, U.S.A.; Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, U.S.A.; Georgetown University School of Medicine, Washington, District of Columbia, U.S.A.; Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland, U.S.A.Graft failure after anterior cruciate ligament reconstruction is multifactorial, with increased tibia slope identified as one of the risk factors. Several slope-correcting osteotomies have been proposed to address this in revision surgery, with most of the procedures using a supratuberosity or transtuberosity approach. Although satisfactory results have been presented, severe complications involving the extensor mechanism can occur. In this Technical Note, an infratuberosity anterior closing-wedge high tibial osteotomy is demonstrated for slope correction in anterior cruciate ligament–deficient knees in the revision setting.http://www.sciencedirect.com/science/article/pii/S2212628724002780 |
spellingShingle | Matthieu Ollivier, M.D. Wiemi Douoguih, M.D. Karam Mark Karam, M.D. Shintaro Onishi, M.D., Ph.D. Te-Feng Arthur Chou, M.D. Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees Arthroscopy Techniques |
title | Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees |
title_full | Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees |
title_fullStr | Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees |
title_full_unstemmed | Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees |
title_short | Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament–Deficient Knees |
title_sort | infratuberosity anterior closing wedge high tibial osteotomy for slope correction in anterior cruciate ligament deficient knees |
url | http://www.sciencedirect.com/science/article/pii/S2212628724002780 |
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