ArticleBMC musculoskeletal disorders2020
A real 3D measurement technique for the tibial slope: differentiation between different articular surfaces and comparison to radiographic slope measurement.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- High variability exists in 3D leg alignment analysis, but underlying principles that might lead to agreement on a universal framework could be identified: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Increased medial anterior tibial translation and reduced tibiofemoral rotation are observed during weight bearing in anterior cruciate ligament-deficient knees: A paired within-subject imaging analysis.Journal of experimental orthopaedics · 2026Article
- Correlation of Plain Radiographs and 3-Dimensional CT With Coronal and Sagittal Measurements in Patients Undergoing Corrective Osteotomies.Orthopaedic journal of sports medicine · 2026Article
- A structured framework for standardized 3D leg alignment analysis: An international Delphi consensus study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Factors affecting augmented reality head-mounted device performance in real OR.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Determination of Posterior Tibial Slope Changes After Tibial Plateau Fracture Fixation: A Retrospective Case Series.Indian journal of orthopaedics · 2023Article
- Development and validation of a clinical tool to semi-automatic measure three-dimensional TAR alignment on two-dimensional radiographs.Journal of foot and ankle research · 2023Article
- Anterior Closing Wedge Osteotomy for Failed Anterior Cruciate Ligament Reconstruction: State of the Art.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Morphological Analysis of the Tibial Slope in 720 Adult Knee Joints.Diagnostics (Basel, Switzerland) · 2022Article
- High inter- and intraindividual differences in medial and lateral posterior tibial slope are not reproduced accurately by conventional TKA alignment techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe tibial slope plays an important role in knee surgery. However, standard radiographic measurement techniques have a low reproducibility and do not allow differentiation between medial and lateral articular surfaces. Despite availability of three-dimensional imaging, so far, no real 3D measurement technique was introduced and compared to radiographic measurement, which were the purposes of this study.
methodsComputed tomography scans of 54 knees in 51 patients (41 males and 10 females) with a mean age of 46 years (range 22-67 years) were included. A novel 3D measurement technique was applied by two readers to measure the tibial slope of medial and lateral tibial plateau and rim. A statistical analysis was conducted to determine the intraclass correlation coefficient (ICC) for the new technique and compare it to a standard radiographic measurement.
resultsThe mean 3D tibial slope for the medial plateau and rim was 7.4° and 7.6°, for the lateral plateau and rim 7.5° and 8.1°, respectively. The mean radiographic slope was 6.0°. Statistical analysis showed an ICC between both readers of 0.909, 0.987, 0.918, 0.893, for the 3D measurement of medial plateau, medial rim, lateral plateau and lateral rim, respectively, whereas the radiographic technique showed an ICC of 0.733.
conclusionsThe proposed novel measurement technique shows a high intraclass agreement and offers an applicable opportunity to assess the tibial slope three-dimensionally. Furthermore, the medial and lateral articular surfaces can be measured separately and one can differentiate the slope from the plateau and from the rim. As three-dimensional planning becomes successively more important, our measurement technique might deliver a useful supplement to the standard radiographic assessment in slope related knee surgery. LEVEL OF EVIDENCE: Level III, diagnostic study.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.