Posteromedial Opening-Wedge Tibial Osteotomy for Metaphyseal Varus and Abnormal Posterior Slope Correction in Failed Anterior Cruciate Ligament Reconstructions Using a Custom Cutting Guide.
Journal
Arthroscopy techniques
ISSN: 2212-6287
Titre abrégé: Arthrosc Tech
Pays: Netherlands
ID NLM: 101597442
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
10
02
2020
accepted:
04
04
2020
entrez:
3
9
2020
pubmed:
3
9
2020
medline:
3
9
2020
Statut:
epublish
Résumé
Anterior cruciate ligament reconstruction after graft failure may need associated bone correction to ensure stability of the knee. This article presents a technique of posteromedial opening-wedge osteotomy using a custom cutting guide to correct increased tibial slope and metaphyseal varus deformity after recurrent graft failure. An autograft quadriceps tendon graft was selected for the revision anterior cruciate ligament graft. After exposure with an anteromedial incision a patient specific cutting guide was used to make the high tibial osteotomy. The final fixation of the posteromedial opening was achieved using a low-profile locking plate and a femoral head allograft bone wedge. The tibial tunnel was planned and included in the patient-specific cutting guide. The femoral tunnel was placed using an outside to in manner. Bioabsorbable screws were used as fixation devices.
Identifiants
pubmed: 32874889
doi: 10.1016/j.eats.2020.04.008
pii: S2212-6287(20)30095-5
pmc: PMC7451726
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e1101-e1108Informations de copyright
© 2020 by the Arthroscopy Association of North America. Published by Elsevier.
Références
J Knee Surg. 2016 Nov;29(8):690-695
pubmed: 26907224
Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):2041-8
pubmed: 24584646
Am J Sports Med. 2015 Oct;43(10):2510-4
pubmed: 26320223
Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1320-1331
pubmed: 30737516
Arthrosc Tech. 2018 Oct 01;7(11):e1079-e1087
pubmed: 30533352
Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):2846-52
pubmed: 26298711
Int Orthop. 2010 Feb;34(2):155-60
pubmed: 19838706
Am J Sports Med. 2019 Feb;47(2):303-311
pubmed: 30640519
Int Orthop. 2019 Mar;43(3):619-624
pubmed: 29951692
HSS J. 2019 Jul;15(2):176-184
pubmed: 31327950
Arch Orthop Trauma Surg. 2017 Feb;137(2):233-240
pubmed: 27915458