Open AccessAnterior Closing-Wedge High Tibial Slope-Correcting Osteotomy Using Patient-Specific Preoperative Planning Software for Failed Anterior Cruciate Ligament Reconstruction
Author(s) -
Phob Ganokroj,
Annalise M. Peebles,
Mitchell S. Mologne,
Michael J. Foster,
Matthew T. Provencher
Publication year - 2022
Publication title -
arthroscopy techniques
Language(s) - English
Resource type - Journals
ISSN - 2212-6287
DOI - 10.1016/j.eats.2022.07.015
Subject(s) - medicine , high tibial osteotomy , sagittal plane , anterior cruciate ligament , osteotomy , anterior cruciate ligament reconstruction , surgery , closing (real estate) , orthodontics , deformity , wedge (geometry) , osteoarthritis , anatomy , optics , pathology , political science , law , alternative medicine , physics
Failure of anterior cruciate ligament reconstruction (ACLR) remains a challenging problem. Recently, the effect of increased posterior tibial slope has been identified as a risk factor for ACLR failure. In cases with increased posterior tibial slope, an anterior closing wedge, slope-correcting high tibial osteotomy can be used as a robust adjunct to revision ACLR. In this Technical Note, we demonstrate our preferred method for isolated sagittal plane correction following multiple failed ACLRs with an anterior closing-wedge high tibial osteotomy technique using 3-dimensional patient-specific instrumentation. Through correction of the angular deformity and restoration of the defined sagittal slope via the use of advanced 3-dimensional patient-specific instrumentation, this technique fosters an accurate, favorable mechanical environment to prevent recurrent instability of the knee joint.