One-stage Anterior Cruciate Ligament Reconstruction with Medial Open Wedge High Tibial Osteotomy – A Surgical Technique

Single-stage ACLR with medial opening wedge HTO provides simultaneous correction of instability and malalignment in ACL-deficient varus knees. With careful surgical sequencing and technical modifications - especially early tunnel drilling and posteromedial plate placement - the procedure is safe, reproducible, and offers a practical solution for delaying OA progression while restoring knee stability.