ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Posterior tibial slope measurements based on the full-length tibial anatomic axis are significantly increased compared to those based on the half-length tibial anatomic axis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 32 citations in OpenAlex.
- Steep tibial slope correlates with inferior patient‑reported knee function independent of tunnel widening.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- [The posterior tibial slope as an intrinsic risk factor : Biomechanical principles, diagnostic challenges, and sagittal correction-A literature review].Orthopadie (Heidelberg, Germany) · 2026Review
- Posterior tibial slope interpretation is method-dependent: No universal threshold for defining abnormality in primary and recurrent ACL rupture.Journal of experimental orthopaedics · 2026Article
- Clinical Outcomes and Accuracy of Patient-Specific Instrumentation for Corrective High Tibial and Distal Femoral Osteotomy.Orthopaedic journal of sports medicine · 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
- How to Measure Posterior Tibial Slope for Anterior Closing Wedge Osteotomy.Arthroscopy techniques · 2026Article
- Comparative analysis of posterior tibial slope measurements: Accuracy and reliability of radiographs and CT.Journal of orthopaedics · 2025Article
- Biplanar radiographic analysis of knee alignment: a stepwise approach for phenotype classification and knee arthroplasty planning.EFORT open reviews · 2025Review
- Measurements of Posterior Tibial Slope of the Ankle Joint on CT Images and Virtual Radiographs.Orthopaedic surgery · 2025Article
- Comparison of Posterior Tibial Slope Measurement Methods Based on 3-Dimensional Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Slope-Reducing Tibial Plateau-Leveling Osteotomy.Arthroscopy techniques · 2025Article
- Medial posterior tibial slope measurements are overestimated on long radiographs and 3D CT compared to measurements on short lateral radiographs.Journal of experimental orthopaedics · 2024Article
- Proximal tibial anatomical axis and anterior tibial cortex-based measurements of posterior tibial slope on lateral radiographs differ least from actual posterior tibial slope-A biomechanical study.Journal of experimental orthopaedics · 2024Article
- Posteromedial corner injuries result in the same posterior translation as posterolateral corner injuries in PCL ruptures.Journal of experimental orthopaedics · 2024Article
- [The correct tibial slope? Comparison of measuring methods].Orthopadie (Heidelberg, Germany) · 2024Article
- Comparison of the Tibial Posterior Slope Angle Between the Tibial Mechanical Axis and Various Diaphyseal Tibial Axes After Total Knee Arthroplasty.Arthroplasty today · 2022Article
- Morphological Analysis of the Tibial Slope in 720 Adult Knee Joints.Diagnostics (Basel, Switzerland) · 2022Article
- Intelligent Evaluation of Public Sports Service Based on Intuitionistic Fuzzy Set Theory.Computational intelligence and neuroscience · 2022Article
- How to Use Full-Length Standing Radiographs to Measure Posterior Tibial Slope and Anterior Tibial Translation.Video journal of sports medicineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThis study aimed to compare the difference in posterior tibial slope (PTS) measurements based on the full-length and half-length tibial anatomic axes of the same group of patients. It was hypothesized that the obtained PTS values would be affected by the length of tibia chosen during the measurements.
methodsFull-length true lateral tibia radiographs were obtained for each patient who underwent anterior cruciate ligament reconstruction (ACLR) in our department. PTS measurements were obtained by measuring the angle between the full-length or half-length tibial anatomic axis and an average of the lateral and medial tibial plateau. The anatomic axis was defined as the center of the tibial diaphysis. The PTS measurements from the full-length and half-length true lateral tibia radiographs were obtained and compared. Additionally, the absolute difference and the relationship between the two PTS measurements were calculated and analyzed.
resultsA total of 200 ACL-injured patients were included in this study. The average PTS values using the anatomic axis were 15.9 ± 3.7° and 14.1 ± 3.7° on full-length and half-length true lateral tibial radiographs. There was a significant difference between the measurements with the full-length and half-length tibial radiographs (P < 0.01). Additionally, 49.5% (n = 99) of patients had ≥ 2.0° differences between the full-length and half-length anatomic axis PTS measurement techniques; meanwhile, a strong and significant linear relationship (r = 0.95; P < 0.001) was identified between the two PTS measurements.
conclusionThere were significant differences and linear relationships between PTS measurements that measured the anatomic axis from full-length and half-length true lateral tibia radiographs. Therefore, the obtained PTS values were strongly associated with the length of tibia chosen during the measurements. Surgeons should pay more attention to the measurement techniques and the tibial length when considering the role of PTS in ACL injury and ACLR failure. Knowledge of the association is very important for calculating potential closing wedge proximal tibial osteotomies to correct excessive PTS in the setting of ACLR failures. LEVEL OF EVIDENCE: IV.
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