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Osteotomy for Malalignment Following Failed ACL Reconstruction

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Revision ACL Reconstruction

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Abstract

Failed anterior cruciate ligament reconstruction represents a challenge in orthopedics and surgeons are often compelled to face many different complicated clinical situations. No decision-making algorithms are available regarding tibial osteotomy and ACL revision and every case must be carefully studied and planned. Even though little evidence is available regarding high tibial osteotomy (HTO) and ACL revision, the importance of limb alignment is widely accepted, and even though HTO is almost never indicated in malaligned knees with acute ACL tear, malalignment is a widely recognized cause of ACL failure.

The aim of this chapter is to describe the indications for osteotomies in ACL revision surgery, the patient’s history and examination, the preoperative planning, and the surgical techniques in order to allow surgeons to better understand the goals that should be achieved in ACL revision surgery.

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Authors and Affiliations

  1. Orthopaedics and Traumatology, CTO Hospital, Via Zuretti 29, Turin, 10100, Italy

    Davide Edoardo Bonasia MD

  2. Orthopaedics and Traumatology, Policlinico Tor Vergata, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy

    Massimiliano Dragoni MD

  3. Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinics, 200 Hawkins Dr., Iowa City, IA, 52242, USA

    Annunziato Amendola MD

Authors
  1. Davide Edoardo Bonasia MD
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  2. Massimiliano Dragoni MD
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  3. Annunziato Amendola MD
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Correspondence to Annunziato Amendola MD .

Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, Hospital for Special Surgery Weill Cornell Medical College, New York, New York, USA

    Robert G. Marx

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Bonasia, D.E., Dragoni, M., Amendola, A. (2014). Osteotomy for Malalignment Following Failed ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_22

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  • DOI: https://doi.org/10.1007/978-1-4614-0766-9_22

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0765-2

  • Online ISBN: 978-1-4614-0766-9

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