Operative Techniques in Orthopaedics
Volume 17, Issue 1 , Pages 46-50, January 2007

Combined High Tibial Osteotomy, Anterior Cruciate Ligament Reconstruction, and Cartilage Transplantation in Young Athletes

  • Florian Elser, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Florian Elser, MD, Abteilung für Sportorthopädie, Klinikum rechts der Isar, Ismaningerstr. 22, 81675 München, Germany.
  • ,
  • Andreas B. Imhoff, MD

Abteilung und Poliklinik für Sportorthopädie, der Technischen Universität München, Klinikum rechts der Isar, München, Germany.

Chronic anterior knee instability due to anterior cruciate ligament insufficiency, combined with varus malalignment and chondral lesions, is a problem common in young athletes. A good therapeutic strategy is necessary to preserve the level of sports ability and avoid or decrease secondary degenerative lesions. This article provides strategies on how to deal with different combined lesions and describes the authors’ preferred operative technique.

Keywords: ACL reconstruction, high tibial osteotomy, cartilage transplantation, plug transplantation, operative technique, young athletes

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PII: S1048-6666(06)00107-8

doi:10.1053/j.oto.2006.11.001

Operative Techniques in Orthopaedics
Volume 17, Issue 1 , Pages 46-50, January 2007