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Current Reviews in Musculoskeletal Medicine

Erschienen in:

05.05.2018 | PCL Update (K Jones and M Alaia, section editors)

The Role of Osteotomy for the Treatment of PCL Injuries

verfasst von: João V. Novaretti, Andrew J. Sheean, Jayson Lian, Joseph De Groot, Volker Musahl

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2018

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Abstract

Purpose of Review

The purposes of this review are to (1) describe the anatomic and biomechanical rationale for high tibial osteotomy (HTO) in the setting of posterior cruciate ligament (PCL) deficiency, (2) review the indications for concomitant HTO and PCL reconstruction, (3) provide guidance for the clinical assessment of the patient with suspected PCL deficiency, and (4) summarize the key surgical steps necessary to attain the appropriate sagittal and coronal plane corrections.

Recent Findings

The preponderance of available biomechanical data pertaining to the PCL-deficient knee suggests that an increased proximal tibial slope limits posterior tibial translation under axial compressive loads. Moreover, recent clinical data has demonstrated that decreased proximal tibial slope may exacerbate residual anterior-posterior laxity and jeopardize the durability of PCL reconstruction. Thus, in the setting of PCL deficiency, an HTO that increases the posterior tibial slope may be advisable.

Summary

HTO may be an important treatment adjunct in the surgical management of PCL deficiency. In the setting of chronic injuries and varus malalignment, HTO should be considered in order to ensure a durable ligamentous reconstruction and forestall the progression of secondary osteoarthritis.

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Titel: The Role of Osteotomy for the Treatment of PCL Injuries
verfasst von: João V. Novaretti
Andrew J. Sheean
Jayson Lian
Joseph De Groot
Volker Musahl
Publikationsdatum: 05.05.2018
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2018
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9488-x

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The Role of Osteotomy for the Treatment of PCL Injuries

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