LIVRE JDG 2016

M. VALOROSO, G. LA BARBERA, G. DEMEY, D. DEJOUR

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CONCLUSION

ACL rupture is one of the most catastrophic

events affecting the quality of life of an active

patient. The identification of the predisposing

risk factors leading to ACL failure has to be

performed both in primary and in revision

surgery. It is mandatory to address all the

modifiable risk factors to limit the re-rupture

rate improving the clinical results and patient

satisfaction.

Fig. 5:

Deflexion osteotomy is performed in order to correct the PTS, reducing the ATT effect leading to the

ACL graft fatigue and injury. After ACL revision, (a) the proximal tibia is exposed and (b) the osteotomy is

performed under fluoroscopic control. (c) The bone fragment is removed and the osteotomy is fixed with

two staples. Tibial tunnel is manually re-drilled and ACL graft passage and fixation are achieved. (d) Pre-

operative and post-ostoperative X-ray showing PTS correction.