Ollivier Matthieu, Douoguih Wiemi, Karam Karam Mark, Onishi Shintaro, Arthur Chou Te-Feng
Sainte-Marguerite Hospital, Institute for Locomotion, Department of Orthopedics and Traumatology, Aix-Marseille University, AP-HM, CNRS, ISM, Marseille, France.
Department of Orthopedics and Traumatology, Institute of Movement and Locomotion, St. Marguerite Hospital, Marseille, France.
Arthrosc Tech. 2024 Jul 27;14(1):103153. doi: 10.1016/j.eats.2024.103153. eCollection 2025 Jan.
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.
前交叉韧带重建术后移植物失败是多因素导致的，胫骨坡度增加被确定为风险因素之一。在翻修手术中，已经提出了几种用于纠正坡度的截骨术，大多数手术采用胫骨结节上或经胫骨结节入路。尽管已经取得了满意的结果，但仍可能发生涉及伸肌机制的严重并发症。在本技术说明中，展示了一种用于在翻修情况下纠正前交叉韧带损伤膝关节坡度的胫骨结节下前闭合楔形高位胫骨截骨术。
