Abstract
This report documents a unique, successful strategy to manage a failed anterior cruciate ligament reconstruction (ACLR) in the setting of coronal and sagittal plane malalignment. The patient is a 38-year-old man with a history of a failed ACLR who presented with recurrent knee instability. Imaging revealed a posterior tibial slope (PTS) of 17° complicated by a varus malalignment of 10°. A single-stage anterior and lateral closing wedge tibial osteotomy (biplanar) with simultaneous revision anterior cruciate ligament reconstruction was performed. Final radiographic evaluation revealed that the tibial osteotomy healed with correction of coronal alignment to a physiologic 3° varus and a PTS of 7°. The patient returned to an active lifestyle without limitations
Recommended Citation
Johns, Shane H.; Lisandro Nardin; Jessica A. Nelson; and Robert Schenck. "Proximal Tibia Biplanar Anterior and Lateral Closing Wedge Osteotomy with Concomitant Revision Anterior Cruciate Ligament Reconstruction: A Case Report." Western Journal of Orthopaedics 14, 1 (2025). https://digitalrepository.unm.edu/wjo/vol14/iss1/13