Proximal Tibial Opening Wedge Osteotomy for the Treatment of Posterior Knee Instability and Genu Recurvatum Secondary to Increased Anterior Tibial Slope

Ariel N Rodriguez; Foley Schreier; Gregory B Carlson; Robert F LaPrade

doi:10.1016/j.eats.2021.08.018

Proximal Tibial Opening Wedge Osteotomy for the Treatment of Posterior Knee Instability and Genu Recurvatum Secondary to Increased Anterior Tibial Slope

Arthrosc Tech. 2021 Nov 16;10(12):e2717-e2721. doi: 10.1016/j.eats.2021.08.018. eCollection 2021 Dec.

Authors

Ariel N Rodriguez^{1

2}, Foley Schreier^{1

3}, Gregory B Carlson¹, Robert F LaPrade¹

Affiliations

¹ Twin Cities Orthopedics, Edina-Crosstown, Edina, Minnesota, U.S.A.
² Georgetown University School of Medicine, Washington, District of Columbia, U.S.A.
³ University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, U.S.A.

Abstract

Decreased posterior tibial slope has been associated with increased risk of graft failure and knee instability after posterior cruciate ligament (PCL) reconstruction. Premature physeal arrest at the tibial tubercle is a common cause of osseous genu recurvatum. Surgical management is recommended to correct the tibial slope and prolong the integrity of the PCL graft. This article discusses our preferred treatment using a proximal tibial opening wedge osteotomy for surgical management of posterior knee instability and genu recurvatum secondary to significant anterior tibial slope.