Combined All-Inside Anterior Cruciate Ligament Reconstruction and Tibial Anterior Closing Wedge Tibial Osteotomy Using Staple Fixation: Surgical Technique

Failure of anterior cruciate ligament (ACL) reconstruction may be associated with a number of technical, anatomic, and patient-related factors. In particular, increased posterior tibial slope is associated with a greater risk of failure after both primary and revision ACL reconstruction, likely a re...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2024-09, p.103262, Article 103262
Main Authors: Khilnani, Tyler K., Uppstrom, Tyler J., Anzillotti, Giuseppe, Rizy, Morgan, Strickland, Sabrina M., Gomoll, Andreas H.
Format: Article
Language:English
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Summary:Failure of anterior cruciate ligament (ACL) reconstruction may be associated with a number of technical, anatomic, and patient-related factors. In particular, increased posterior tibial slope is associated with a greater risk of failure after both primary and revision ACL reconstruction, likely a result of increased load across the ACL graft. Surgical treatment of increased posterior tibial slope most commonly involves an anterior closing-wedge osteotomy of the proximal tibia, which may be performed in a simultaneous or staged fashion with ACL reconstruction. The authors describe a technique for combined, single-stage, all-inside ACL reconstruction and anterior closing-wedge osteotomy using staple fixation. The proposed technique provides adequate fixation of the osteotomy while minimizing hardware interference with the ACL tunnel placement and maximizing proximal femoral bone stock. [Display omitted]
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2024.103262