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Slope reducing osteotomy: The emerging gap between indication, safety and proportionality.

Tomas Pineda^1,2, Romain Seil³, Bertrand Sonnery-Cottet⁴

¹Facultad de Medicina, Hospital del Trabajador, Universidad Andrés Bello, Santiago, Chile.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA

|June 15, 2026

Summary

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This summary is machine-generated.

Slope-reducing osteotomy (SRO) aids anterior cruciate ligament (ACL) injury management, but its use needs better evidence. Personalized risk assessment, not just numbers, should guide SRO application for safety and effectiveness.

Area of Science:

Orthopedic surgery
Sports medicine
Biomechanics

Background:

Slope-reducing osteotomy (SRO) is increasingly used for anterior cruciate ligament (ACL) injuries.
Its application is common in high-risk patients and revision cases.
Evidence for optimal SRO timing, technique, and patient selection is lagging behind adoption.

Keywords:

anterior cruciate ligament reconstruction posterior tibial slope risk stratification surgical indication tibial slope–reducing osteotomy

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