2021 Annual Meeting Knee Access Pass-Failed Revision ACLR With Increased Tibial Slope: When to Perform a Slope Altering Proximal Tibial Osteotomy

Failed Revision ACLR With Increased Tibial Slope: When to Perform a Slope Altering Proximal Tibial Osteotomy

Video Transcription

Video Summary

This talk emphasizes the importance of osteotomy in managing ACL reconstruction failures, especially with high revision rates in young, active patients. Key factors in failure include technical errors, missed pathology, and bone morphology like increased tibial slope and femoral shape, which contribute to instability. Osteotomy indications include malalignment, osteoarthritis, instability, and multiple ACL revision failures. Techniques to correct slope, particularly slope-decreasing posterior osteotomy, are discussed with surgical details and outcomes. Cases highlight combining osteotomy and revision ACL reconstruction. Caution is urged for primary ACL cases due to risks. Overall, osteotomy is a valuable tool for complex ACL instability cases.

Asset Caption

Dr. Volker Musahl

Keywords

osteotomy

ACL reconstruction failure

tibial slope correction

knee instability

revision ACL surgery