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American Orthopaedic Society for Sports Medicine Annual Meeting
ByHunter Firment
Fact checked byGina Brockenbrough, MA

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July 12, 2024
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Single-stage slope-reducing osteotomy may yield positive outcomes in active patients

ByHunter Firment
Fact checked byGina Brockenbrough, MA

Key takeaways:

  • Single-stage slope-reducing high-tibial osteotomy may have similar return to sport rates as isolated ACL reconstruction.
  • Double-stage slope-reducing osteotomy was linked with longer time until return to sport.

DENVER — According to results presented here, ACL reconstruction with a single-stage slope-reducing high-tibial osteotomy may have similar return to sport rates to isolated primary ACL reconstruction in active patients.

“A slope-reducing osteotomy is not the end of an athletic career,” Walter R. Lowe, MD, said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting. “A single-stage slope-reducing osteotomy can get these active patients through return to play testing at similar times to just a primary ACL group.”

OT0724Lowe_AOSSM_Graphic_01

In a matched case-control study, Lowe and colleagues compared the clinical outcomes of 48 patients who received either an isolated primary ACL reconstruction (n = 24) or an ACL reconstruction with a slope-reducing high-tibial osteotomy (n = 24). Outcomes included graft failure, return to play and the 12-item ACL-Return to Sport after Injury (ACL-RSI) scale.

According to Lowe, the initial findings showed isolated ACL reconstruction was associated with shorter time until return to play and better ACL-RSI scores vs. ACL reconstruction with a slope-reducing high-tibial osteotomy. However, when Lowe and colleagues stratified the slope group by single-stage vs. double-stage procedures, the single-stage group had similar return to play rates to the isolated ACL reconstruction group. Meanwhile, the double-stage group was associated with longer time until return to play and poor ACL-RSI scores.

“We will need longer data to prove it, but this operation can protect from future tears of the ACL, and [active patients] can regain their athletic ability,” Lowe concluded.

Sources/Disclosures

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Source:

Lowe WR, et al. Paper 1. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-14, 2024; Denver.

Disclosures: Lowe reports receiving IP royalties, consulting fees and speaking fees from Arthrex; and being a board or committee member of the Herodicus Society.

Read more about

tibial osteotomy
anterior cruciate ligament reconstruction
return to sport
 

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