Pivot-Shift Test in ACL-deficient Knee This patient has pathologic varus alignment across the knee and a chronic ACL tear. We will be performing a high-tibial osteotomy (HTO) to correct his alignment and an ACL reconstruction to restore stability to the knee. Andrew Dold, MD @dr.dold.md #Pivot #Shift #PivotShift #test #ACL #Knee #Injury #ACLTear #clinical #video #PhysicalExam #Sports #Ortho #msk