Single-Stage Primary Anterior Cruciate Ligament Reconstruction With Slope-Reducing Anterior Closing-Wedge Proximal Tibial Osteotomy and a Lateral Extra-Articular Tenodesis.

ABSTRACT: Anterior cruciate ligament (ACL) tears with known risk factors for anterior cruciate ligament reconstruction (ACLR) graft failure, such as elevated posterior tibial slope ≥12°, require a comprehensive treatment approach. In primary ACLRs, slope-reducing anterior closing-wedge proximal tibial osteotomies are not frequently necessary; however, when slope is severely increased (>18°), they should be considered. This Technical Note describes a single-stage combined primary ACLR, anterior closing-wedge proximal tibial osteotomy, and lateral extra-articular tenodesis in a patient with a chronic ACL tear with increased posterior tibial slope.

SUBMITTER: Shoemaker EP 

PROVIDER: S-EPMC12420602 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature