2021 AOSSM-AANA Combined Annual Meeting Recordings-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

In this video, the speaker discusses the importance of considering osteotomy in ACL reconstructions due to the high revision rate. They explain that technical issues and missed concomitant pathology are the main causes of failure in ACL reconstructions. They also discuss the role of bone morphology, specifically the tibial and femoral slopes, in ACL injuries and high-grade instability. The speaker presents different indications for osteotomy, including isolated malalignment, malalignment with OA and instability, chronic ligamentous instability, and multiple ACL revisions. They explain different osteotomy techniques and present case studies of successful outcomes. In summary, the speaker emphasizes the assessment and investigation of patients to determine the need for slope-changing osteotomy in ACL reconstructions.

Asset Caption

Volker Musahl, MD

Keywords

osteotomy

ACL reconstructions

revision rate

concomitant pathology

bone morphology