Comparison of Lateral Closing-Wedge Versus Medial Opening-Wedge High Tibial Osteotomy on Knee Joint Alignment and Kinematics in the ACL-Deficient Knee

Conclusion/Clinical Relevance:
LCW shows more reproducible posterior tibial slope neutralization and decreased anterior tibial translation in ACL deficiency compared with MOW; however, LCW is associated with increased external tibial axial rotation and lateral patellar tilt, which may adversely affect the patellofemoral joint. More work is needed to understand the clinical and functional outcome of these biomechanical findings in the ACL-deficient knee.

Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Ranawat, A. S., Nwachukwu, B. U., Pearle, A. D., Zuiderbaan, H. A., Weeks, K. D., Khamaisy, S. Tags: Knee, general, Knee ligaments, ACL, Aging athlete Source Type: research