Open Wedge High Tibial Osteotomy with ACL Reconstruction: Does Combined Surgery Improve Outcomes?

Authors

  • Eslam Nagy Hadhoud, Khalid Mohamed Hassan, Mohamed AbdAlla M. Abdelsalam, Mohamed Attia Abdelmoeti

Keywords:

Open Wedge High Tibial Osteotomy, ACL Reconstruction, Outcomes

Abstract

Background: Open wedge high tibial osteotomy (OWHTO) combined with anterior cruciate ligament reconstruction(ACLR) hasemerged as a promising surgical strategy for patients presenting with ACL deficiency and varus malalignment.Traditionally, ACL injuries have been managed with isolated reconstruction; however, increasing evidence suggests thatuncorrected malalignment may compromise graft integrity and lead to suboptimal outcomes. In particular, varus deformityand increased posterior tibial slope contribute to abnormal knee biomechanics, increased graft stress, and higher rates offailure following isolated ACLR.

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References

Moon HS, Song SY, Oh JU, Seo YJ. Effects of modified trans-tibial versus trans-portal technique on stress patterns around the femoral tunnel in anatomical single-bundle ACL reconstruction. BMC Musculoskelet Disord. 2022;23(1):759.

Hassebrock JD, Gulbrandsen MT, Asprey WL, Makovicka JL, Chhabra A. Knee ligament anatomy and biomechanics. Sports Med Arthrosc Rev. 2020;28(3):80-88.

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Published

2024-03-20

How to Cite

Eslam Nagy Hadhoud, Khalid Mohamed Hassan, Mohamed AbdAlla M. Abdelsalam, Mohamed Attia Abdelmoeti. (2024). Open Wedge High Tibial Osteotomy with ACL Reconstruction: Does Combined Surgery Improve Outcomes? . Pegem Journal of Education and Instruction, 14(3), 1008–1017. Retrieved from https://www.pegegog.net/index.php/pegegog/article/view/4980

Issue

Vol. 14 No. 3 (2024): PEGEGOG

Section

Article

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