Combined Anterior Opening-Wedge High Tibial Osteotomy and Tibial Tubercle Osteotomy with Posterior Cruciate Ligament Reconstruction.


Journal

Arthroscopy techniques
ISSN: 2212-6287
Titre abrégé: Arthrosc Tech
Pays: Netherlands
ID NLM: 101597442

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 19 09 2021
accepted: 13 12 2021
entrez: 2 5 2022
pubmed: 3 5 2022
medline: 3 5 2022
Statut: epublish

Résumé

Despite multiple advances in techniques for posterior cruciate ligament reconstruction (PCL-R), residual posterior laxity continues to be a commonly reported complication. Multiple studies demonstrated a decreased or flat posterior tibial slope, increases posterior laxity, and forces placed across the native and reconstructed PCL. Anterior opening wedge high tibial osteotomies (aOW-HTO) can be used to increase posterior tibial slope, thereby reducing tibial sag and posterior laxity. Depending on the technique used, anterior opening wedge osteotomies can lead to changes in patellar height, affecting patient pain and satisfaction. The purpose of this article is to describe a technique for an aOW-HTO with a tibial tubercle osteotomy and concomitant PCL-R to increase the posterior tibial slope while minimizing changes to patellar height.

Identifiants

pubmed: 35493047
doi: 10.1016/j.eats.2021.12.014
pii: S2212-6287(21)00356-X
pmc: PMC9051974
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e601-e608

Informations de copyright

© 2022 The Authors.

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Auteurs

Ajay C Kanakamedala (AC)

New York University Langone Orthopedic Hospital, New York, New York, U.S.A.

Aaron Gipsman (A)

New York University Langone Orthopedic Hospital, New York, New York, U.S.A.

Dylan T Lowe (DT)

New York University Langone Orthopedic Hospital, New York, New York, U.S.A.

Eric J Strauss (EJ)

New York University Langone Orthopedic Hospital, New York, New York, U.S.A.

Michael J Alaia (MJ)

New York University Langone Orthopedic Hospital, New York, New York, U.S.A.

Classifications MeSH