Anterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedure

Pineda, TomásDavid HMusahl, VolkerSeil, RomainZaffagnini, StefanoOllivier, Matthieu2026-08-142026-08-142026Journal of Experimental Orthopaedics, Vol. 13, N° 2 (2026) e70792https://hdl.handle.net/20.500.12254/7699The expanding use of lateral extra‐articular procedures (LEAPs) and tibial deflexion osteotomy (TDO)—also referred to as slope‐reducing anterior closing wedge high tibial osteotomy—in anterior cruciate ligament (ACL) reconstruction reflects meaningful progress in our understanding of mechanisms of graft failure. However, as their use expands, an important distinction must be maintained: they do not address the same problem.enAtribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)anterior cruciate ligament reconstructioninstability phenotypesposterior tibial sloperotational instabilitytibial slope–reducing osteotomyAnterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedureArticlehttps://orcid.org/0000-0002-9537-0658https://doi.org/10.1002/jeo2.707922197-1153