Proximal Tibial Opening Wedge Osteotomy for the Treatment of Posterior Knee Instability and Genu Recurvatum Secondary to Increased Anterior Tibial Slope
Ariel N. Rodriguez, Foley Schreier, Gregory B. Carlson, Robert F. LaPrade
Abstract
Decreased posterior tibial slope has been associated with increased risk of graft failure and knee instability after posterior cruciate ligament (PCL) reconstruction. Premature physeal arrest at the tibial tubercle is a common cause of osseous genu recurvatum. Surgical management is recommended to correct the tibial slope and prolong the integrity of the PCL graft. This article discusses our preferred treatment using a proximal tibial opening wedge osteotomy for surgical management of posterior knee instability and genu recurvatum secondary to significant anterior tibial slope.
Topics & Concepts
MedicineHigh tibial osteotomyPosterior cruciate ligamentSurgeryOsteotomyTibiaAnterior cruciate ligamentOsteoarthritisPathologyAlternative medicineTotal Knee Arthroplasty OutcomesKnee injuries and reconstruction techniquesOrthopaedic implants and arthroplasty