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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Main Authors: 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.
Format: Article
Language:English
Published: Elsevier 2025-01-01
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
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institution Kabale University
issn 2212-6287
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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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