Z Orthop Unfall 2020; 158(05): 532-533
DOI: 10.1055/a-1200-2910

Tibial Slope Correction as an Infratuberosity Closing-Wedge Extension Osteotomy in ACL-Deficient Knees

Article in several languages: English | deutsch
Jörg Dickschas
1  Department for Orthopaedic and Trauma Surgery, Sozialstiftung Bamberg
Michael J. Strobel
2  Orthopaedic Surgery, Sportopaedicum Straubing
Andreas Weiler
3  Orthopaedic Surgery, Sportopaedicum Berlin
Philipp Lobenhoffer
4  Orthopaedic Surgery, go:h Orthopaedic Joint Surgery Hanover
Michael Simon
5  Department for Orthopaedic and Trauma Surgery, am Bruderwald Hospital, Bamberg
› Author Affiliations


ACL insufficiency can be caused by different reasons. Elevated posterior tibial slope is a deformity which is discussed to have relevant influence on the outcome of ACL surgery. A increased posterior tibial slope of 12° or more leads to significant more ACL insufficiency. The surgical therapy of this pathology is a high tibial extension osteotomy. Publications ashowing a clinical follow up and results of this surgery are rare. In this video the technique of a closed wedge high tibial extension osteotomy is shown. Osteosynthesis is performed with two screws and an anklestable plate osteosynthesis. An arthroscopy with bone graft filling of the femoral ACL tunnel is performed first, followed by filling of the tibial tunnel in an open approach.

Publication History

Publication Date:
24 August 2020 (online)

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York