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Revision Anterior Cruciate Ligaments and the Role of Osteotomies. | LitMetric

AI Article Synopsis

  • ACL injuries are frequent and serious injuries for athletes, with long-term failure rates of ACL reconstructions ranging from 2% to 27%.
  • A significant factor contributing to these failures is osseous malalignment, which refers to improper alignment of the bones in different planes (coronal vs. sagittal).
  • The review explores the pathology of osseous malalignment and highlights the development and benefits of high tibial osteotomy as a treatment option.

Article Abstract

Anterior cruciate ligament (ACL) injuries are one of the most common and debilitating injuries experienced by athletes. While many patients successfully undergo ACL reconstructions, long-term failure rates have been reported between 2% to 27% resulting in the need for revisions. One of the main causes for the failure of ACL reconstruction is osseous malalignment (coronal versus sagittal). This review discusses the pathology behind osseous malalignment and provides insights into the origins that helped advance our understanding of our treatment, the high tibial osteotomy.

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