2023 Annual Meeting Knee Access Pass-ACL Reconstruction with Osteotomies

Video Transcription

Video Summary

Romain Chaill discusses ACL reconstruction combined with osteotomies, highlighting their use in complex cases with chronic ACL insufficiency, malalignment, or excessive tibial slope. In his practice, osteotomies are rare and mainly for patients with instability, pain, and symptomatic unicompartmental overload, often with malalignment in coronal or sagittal planes. Surgery is typically single-stage, combining ligament reconstruction with bone correction. Osteotomies are reserved for symptomatic knees to protect grafts and correct deformities. Though challenging and for experienced surgeons, results are promising, especially in revision cases, but more research is needed to define roles in primary ACL injuries and optimize techniques.

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Romaine Seil, M.D.

Keywords

ACL reconstruction

osteotomies

chronic ACL insufficiency

knee malalignment

ligament reconstruction