Coronal and Sagittal Plane Malalignment in Anterior Cruciate Ligament Deficiency: Clinical Implications, and Surgical Strategies
DOI:
https://doi.org/10.48047/33dg3p49Keywords:
Coronal,Sagittal Plane Malalignment, Anterior Cruciate Ligament DeficiencyAbstract
Background: Anterior cruciate ligament (ACL) deficiency is a complex pathological condition that extends beyond isolated ligament
disruption, involving significant alterations in knee biomechanics influenced by both coronal and sagittal plane malalignment. Increasing evidence suggests that factors such as varus deformity and increased posterior tibial slope (PTS) play a pivotal role in the pathogenesis of ACL injury, persistence of instability, and failure of reconstruction. Despite advances in surgical techniques, failure rates followingACL reconstruction (ACLR) remain notable, highlighting the importance of addressing underlying osseous malalignment.
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References
Moon HS, Song SY, Oh JU, Seo YJ. Effects of modified trans-tibial versus trans-portal technique on stress patterns around the femoral tunnel in anatomical single-bundle ACL reconstruction. BMC Musculoskelet Disord. 2022;23(1):759.
Hassebrock JD, Gulbrandsen MT, Asprey WL, Makovicka JL, Chhabra A. Knee ligament anatomy and biomechanics. Sports Med Arthrosc Rev. 2020;28(3):80-88.
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