2021 Annual Meeting Knee Access Pass-Failed Revision ACLR With Increased Tibial Slope: When to Perform a Slope Altering Proximal Tibial Osteotomy

Failed Revision ACLR With Increased Tibial Slope: When to Perform a Slope Altering Proximal Tibial Osteotomy

Video Transcription

Video Summary

The video discusses the importance of including osteotomy in the treatment of ACL reconstructions. It highlights the high revision rate for ACL reconstructions, especially in young patients returning to pivoting sports. The video emphasizes the role of technical issues, graft choice, missed concomitant pathology, and bone morphology in ACL reconstruction failures. It also discusses the impact of lateral capsule, antilateral ligament, IT band, and meniscus on high-grade instability. The video introduces different types of osteotomy, such as the closing retch, opening retch, and pure deflection osteotomy, and presents two case studies demonstrating successful outcomes. It concludes by recommending the consideration of slope-changing osteotomy in selected cases. The speaker is Dr. Volker Musahl, MD.

Asset Caption

Dr. Volker Musahl

Keywords

osteotomy

ACL reconstructions

revision rate

concomitant pathology

slope-changing osteotomy