Slope-Reducing Osteotomy Plus Revision ACLR Enabled Return to Elite Sport

This retrospective case series from two centers followed 19 elite athletes with failed ACL reconstruction and increased posterior tibial slope (≥10°) who underwent revision ACL reconstruction combined with supratuberosity slope-reducing osteotomy. The study reports that all athletes returned to their preinjury competition level at a mean of 12.1 months, with significant improvements in IKDC and Lysholm scores, mean posterior tibial slope reduced from 14.9° to 4.5°, and no graft failures or major complications through a mean follow-up of 58.8 months.

Most relevant for: Elite athletes with failed ACL reconstruction and increased posterior tibial slope being considered for revision surgery.

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