Slope reducing osteotomy: The emerging gap between indication, safety and proportionality
Abstract
Slope-reducing osteotomy (SRO) has emerged as a valuable risk-mitigation tool in the management of anterior cruciate ligament (ACL) injuries, particularly in high-risk patients and in revision settings. However, its rapid adoption has outpaced the evidence defining when, how and in whom it should be performed, raising important questions regarding proportionality, technical demand and patient selection. This editorial argues that SRO should be guided by integrated, individualised risk stratification rather than isolated numerical thresholds, and that clinical judgement and surgical experience remain the essential safeguards for its safe and effective application.
Fields of Study & Subjects
Knee injuries and reconstruction techniques
Total Knee Arthroplasty Outcomes
Foot and Ankle Surgery
Publication details
- Journal / source
- Knee Surgery Sports Traumatology Arthroscopy
- Volume
- 34
- Issue
- 7
- Pages
- 2334–2339
- Publication date
- 15 June 2026
- Language
- EN