Guided Growth for Posterior Tibial Slope Correction Followed by ACL Reconstruction in an Adolescent Male: A Case Report.
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Case Report
A 13-year-old adolescent boy presented with chronic anterior cruciate ligament (ACL) insufficiency and prior medial meniscectomy. Radiographic evaluation revealed a posterior tibial slope (PTS) of 20°, putting him at high risk of reinjury following ACL reconstruction (ACLR). Guided growth using anteriorly placed eight plates was used for 9 months, which reduced his PTS to 6°. Two months following plate removal, the patient underwent ACLR with lateral extra-articular tenodesis./r/nThis previously proposed but never reported approach suggests that guided growth is a viable option to correct excessive PTS before ACLR in skeletally immature patients.
