ArticleThe American journal of sports medicine2019
Anatomic Features of the Tibial Plateau Predict Outcomes of ACL Reconstruction Within 7 Years After Surgery.
Article in The American journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00434837 (Effects of Initial Graft Tension on Anterior Cruciate Ligament Reconstruction), which is not on this map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Initial Graft Tension on Anterior Cruciate Ligament Reconstruction
Who cites it
15 citing papers in PubMed.
- Early MRI-based quantitative outcomes are associated with a positive functional performance trajectory from 6 to 24 months post-ACL surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Long-term outcomes of anterior cruciate ligament reconstruction surgery: 2020 OREF clinical research award paper.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Trial
- Machine learning model identifies tibial anatomical variables as potential risk factors for anterior cruciate ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Survival of anterior cruciate ligament reconstruction in patients with Ehlers-Danlos syndrome: A comparison with anatomic risk factors in existing literature.International orthopaedics · 2025Article
- Posterior Opening-Wedge Osteotomy for Posterior Tibial Slope Correction of Failed Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2023Article
- Posterior Tibial Slope in Anterior Cruciate Ligament Surgery: A Systematic Review.Indian journal of orthopaedics · 2023Review
- Predicting anterior cruciate ligament failure load with TScientific reports · 2023Article
- Posterior Tibial Slope in Patients With Torn ACL Reconstruction Grafts Compared With Primary Tear or Native ACL: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2022Review
- ACL Size, but Not Signal Intensity, Is Influenced by Sex, Body Size, and Knee Anatomy.Orthopaedic journal of sports medicine · 2021Article
- Reliability of Plain Radiographs Versus Magnetic Resonance Imaging to Measure Tibial Slope in Sports Medicine Patients: Can They Be Used Interchangeably?Orthopaedic journal of sports medicine · 2021Article
- Difference in sex and the effect of a dominant lower extremity in the posterior tibial slope angle in healthy Japanese subjects.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
- An Arthroscopic Procedure for Restoration of Posterolateral Tibial Plateau Slope in Tibial Plateau Fracture Associated With Anterior Cruciate Ligament Injuries.Arthroscopy techniques · 2020Article
- Posteromedial Opening-Wedge Tibial Osteotomy for Metaphyseal Varus and Abnormal Posterior Slope Correction in Failed Anterior Cruciate Ligament Reconstructions Using a Custom Cutting Guide.Arthroscopy techniques · 2020Article
- Sex Differences in Anatomic Features Linked to Anterior Cruciate Ligament Injuries During Skeletal Growth and Maturation.The American journal of sports medicine · 2020Article
- Changes in Cross-sectional Area and Signal Intensity of Healing Anterior Cruciate Ligaments and Grafts in the First 2 Years After Surgery.The American journal of sports medicine · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundMultiple anatomic features of the femoral condyles and tibial plateau have been shown to influence knee biomechanics and risk of anterior cruciate ligament (ACL) injury. However, it remains unclear how these anatomic factors affect the midterm outcomes of ACL reconstruction. HYPOTHESIS: Decreased femoral notch width, increased posterior and coronal slopes, and decreased concavity of the tibial plateau are associated with inferior clinical, patient-reported, and osteoarthritis-related outcomes 7 years after ACL reconstruction. STUDY
designCohort study; Level of evidence, 3.
methodsProspectively collected data from 44 patients who did not have a subsequent graft or contralateral ACL failure within 7 years after unilateral ACL reconstruction were reviewed (mean ± SD age, 23.7 ± 9.2 years; 64% women). Notch width (after notchplasty), posterior slopes of the medial and lateral tibial plateau, maximum depth of the medial tibial plateau, and coronal tibial slope were measured from magnetic resonance images. Anatomic predictors of side-to-side differences in anterior-posterior knee laxity, Knee injury and Osteoarthritis Outcome Score (KOOS), medial joint space width, and side-to-side differences in Osteoarthritis Research Society International (OARSI) x-ray score, measured at 7 years, were identified with linear regression (bivariate) and stepwise regression (multivariate).
resultsIncreased posterior slope of the lateral tibial plateau was associated with increased side-to-side difference in knee laxity (bivariate model only), increased side-to-side difference in the OARSI score, and decreased KOOS subscores ( R
conclusionResults partially support the hypothesis and highlight the importance of knee anatomy on several outcomes of ACL reconstruction among patients without subsequent graft or contralateral ACL injures. Increasing slopes in the coronal and sagittal planes with decreasing concavity of the medial tibial plateau lead to less favorable outcomes 7 years after surgery.
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