The Original Technique for Tibial Deflexion Osteotomy During Revision Anterior Cruciate Ligament Reconstruction: Surgical Technique

Amedeo Guarino; Tomas Pineda; Edoardo Giovannetti de Sanctis; Floris van Rooij; Mo Saffarini; David Dejour

doi:10.1016/j.eats.2023.08.029

The Original Technique for Tibial Deflexion Osteotomy During Revision Anterior Cruciate Ligament Reconstruction: Surgical Technique

Arthrosc Tech. 2023 Dec 18;13(1):102824. doi: 10.1016/j.eats.2023.08.029. eCollection 2024 Jan.

Authors

Amedeo Guarino¹, Tomas Pineda¹, Edoardo Giovannetti de Sanctis¹, Floris van Rooij², Mo Saffarini², David Dejour¹

Affiliations

¹ Ramsay Santé, Lyon-Ortho-Clinic, Clinique de la Sauvegarde, Lyon, France.
² ReSurg SA, Nyon, Switzerland.

Abstract

The original technique for tibial deflexion osteotomy (TDO) was first described by Henri Dejour during the Lyon knee meeting in 1991 to reduce excessive posterior tibial slope during second revision anterior cruciate ligament reconstruction (ACLR). The technique is nowadays increasingly performed during first-revision ACLR in patients at risk for graft retear. This Technical Note describes and updates the original TDO technique.