2023 Annual Meeting Knee Access Pass-Level the Playing Field With Deflexion Osteotomy: Sagittal Plan Realignment for the Failed ACL

Level the Playing Field With Deflexion Osteotomy: Sagittal Plan Realignment for the Failed ACL

Video Transcription

Video Summary

Dr. Metsu discusses tibial slope's crucial role in ACL reconstruction failure, highlighting that increased posterior slope significantly raises graft strain and reconstruction failure risk. He explains a simple measurement technique for tibial slope using lateral tibia imaging and notes normal slope ranges from 7-9 degrees. Osteotomy procedures to realign the sagittal plane are reviewed, including surgical techniques that preserve posterior bone and protect structures. Dr. Metsu advocates a one-stage approach combining osteotomy with ACL revision and associated procedures, with post-operative immobilization and delayed return to sport, emphasizing this method's stability and effectiveness in managing failed ACL reconstructions linked to abnormal tibial slope.

Asset Caption

Rodrigo Maestu, M.D.

Keywords

tibial slope

ACL reconstruction failure

graft strain

osteotomy procedures

one-stage revision approach