High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction/Revision

Antonino Cantivalli; Federica Rosso; Davide Edoardo Bonasia; Roberto Rossi

doi:10.1016/j.csm.2019.02.008

High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction/Revision

Clin Sports Med. 2019 Jul;38(3):417-433. doi: 10.1016/j.csm.2019.02.008.

Authors

Antonino Cantivalli¹, Federica Rosso², Davide Edoardo Bonasia³, Roberto Rossi⁴

Affiliations

¹ University of Study of Turin, Via Po 8, Turin 10100, Italy.
² Department of Orthopedics and Traumatology, AO Ordine Mauriziano, Largo Turati 62, Turin 10128, Italy. Electronic address: federica.rosso@yahoo.it.
³ Department of Orthopedics and Traumatology, AO Ordine Mauriziano, Largo Turati 62, Turin 10128, Italy.
⁴ University of Study of Turin, Via Po 8, Turin 10100, Italy; Department of Orthopedics and Traumatology, AO Ordine Mauriziano, Largo Turati 62, Turin 10128, Italy.

PMID: 31079772
DOI: 10.1016/j.csm.2019.02.008

Abstract

High tibial osteotomy (HTO) may be performed in association with anterior cruciate ligament (ACL) reconstruction/revision in patients with medial osteoarthritis, varus malalignment, and anterior instability. Furthermore, it may be performed in patients with varus alignment and increased posterior tibial slope (exceeding 12°), because it is related to an increased risk for ACL failure. There are different techniques to perform HTO, and consequently, a concomitant HTO and ACL reconstruction/revision. This article describes the indication, surgical techniques, and outcomes of concomitant HTO and ACL reconstruction/revision.

Keywords: ACL reconstruction; ACL reconstruction revision; High tibial osteotomy; Knee instability; Varus alignment.

Publication types

Review

MeSH terms

Anterior Cruciate Ligament Injuries / surgery*
Anterior Cruciate Ligament Reconstruction / methods*
Humans
Knee Joint / surgery
Osteoarthritis, Knee / surgery*
Osteotomy / methods*
Tibia / surgery*