Graft failure after anterior cruciate ligament reconstruction is multifactorial, with increased tibia slope identified as one of the risk factors. Several slope-correcting osteotomies have been proposed to address this in revision surgery, with most of the procedures using a supratuberosity or transtuberosity approach. Although satisfactory results have been presented, severe complications involving the extensor mechanism can occur. In this Technical Note, an infratuberosity anterior closing-wedge high tibial osteotomy is demonstrated for slope correction in anterior cruciate ligament-deficient knees in the revision setting.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843275PMC
http://dx.doi.org/10.1016/j.eats.2024.103153DOI Listing

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