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

Pineda, TomásDejour, David H.Musahi, VolkerSeil, RomainZaffagnini, StefanoOllivier, Matthieu2026-06-092026-06-092026Journal of Experimental Orthopaedics (2026) pp. 1-72197-1153https://hdl.handle.net/20.500.12254/7618The 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 just be maintained: they do not address the same problem.enAcceso abiertoanterior cruciate ligament reconstructioninstability phenotypesposterior tibial sloperotational instabilitytibial slope-redoucing 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/jeo2.70792