2023 Specialty Day Access Pass-When to Correct Slope

Video Transcription

Video Summary

Dr. Mark Hurd discusses the impact of sagittal tibial slope on revision ACL reconstructions, highlighting posterior tibial slope as a modifiable risk factor for ACL graft failure. Increased slope (>11-12 degrees) correlates with higher failure rates, suggesting slope reduction could reduce re-injury risk. Current surgical correction involves closing high-tibial osteotomy, preferably staged when bone grafting is needed. Although evidence is limited and outcomes in multi-revision cases show improved stability but only fair clinical outcomes, earlier intervention targeting tibial slope is advocated. Hurd calls for standardized fixation methods and larger multicenter trials to optimize risk reduction strategies in ACL revision surgery.

Asset Caption

Mark A. Heard, M.D.

Keywords

sagittal tibial slope

posterior tibial slope

ACL graft failure

high-tibial osteotomy

ACL revision surgery