Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions

Anterior cruciate ligament reconstruction (ACLR) failure is multifactorial, but it is known that increased posterior tibial slope (PTS) leads to a greater likelihood of ACLR failure. This technical note describes the senior author’s technique for performing an anterior closing wedge proximal tibial...

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Autores principales: Floyd, Edward R., Carlson, Gregory B., Monson, Jill, LaPrade, Robert F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556534/
https://www.ncbi.nlm.nih.gov/pubmed/34754727
http://dx.doi.org/10.1016/j.eats.2021.05.026
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author Floyd, Edward R.
Carlson, Gregory B.
Monson, Jill
LaPrade, Robert F.
author_facet Floyd, Edward R.
Carlson, Gregory B.
Monson, Jill
LaPrade, Robert F.
author_sort Floyd, Edward R.
collection PubMed
description Anterior cruciate ligament reconstruction (ACLR) failure is multifactorial, but it is known that increased posterior tibial slope (PTS) leads to a greater likelihood of ACLR failure. This technical note describes the senior author’s technique for performing an anterior closing wedge proximal tibial osteotomy, in which the osteotomy is made proximal to the tibial tubercle. This procedure is the first part of a staged surgery for patients with multiple failed ACLRs and increased sagittal plane PTS. Debridement of osteolytic reconstruction tunnels with bone grafting is also undertaken in preparation for a second-stage revision ACLR.
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spelling pubmed-85565342021-11-08 Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions Floyd, Edward R. Carlson, Gregory B. Monson, Jill LaPrade, Robert F. Arthrosc Tech Technical Note Anterior cruciate ligament reconstruction (ACLR) failure is multifactorial, but it is known that increased posterior tibial slope (PTS) leads to a greater likelihood of ACLR failure. This technical note describes the senior author’s technique for performing an anterior closing wedge proximal tibial osteotomy, in which the osteotomy is made proximal to the tibial tubercle. This procedure is the first part of a staged surgery for patients with multiple failed ACLRs and increased sagittal plane PTS. Debridement of osteolytic reconstruction tunnels with bone grafting is also undertaken in preparation for a second-stage revision ACLR. Elsevier 2021-09-08 /pmc/articles/PMC8556534/ /pubmed/34754727 http://dx.doi.org/10.1016/j.eats.2021.05.026 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Floyd, Edward R.
Carlson, Gregory B.
Monson, Jill
LaPrade, Robert F.
Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title_full Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title_fullStr Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title_full_unstemmed Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title_short Tibial Tubercle Preserving Anterior Closing Wedge Proximal Tibial Osteotomy and ACL Tunnel Bone Grafting for Increased Posterior Tibial Slope in Failed ACL Reconstructions
title_sort tibial tubercle preserving anterior closing wedge proximal tibial osteotomy and acl tunnel bone grafting for increased posterior tibial slope in failed acl reconstructions
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556534/
https://www.ncbi.nlm.nih.gov/pubmed/34754727
http://dx.doi.org/10.1016/j.eats.2021.05.026
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