ArticleJournal of experimental orthopaedics2021
The correlation between posterior tibial slope and dynamic anterior tibial translation and dynamic range of tibial rotation.
Article in Journal of experimental orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Increased lateral posterior tibial slope and greater tibiofemoral rotation are associated with a higher risk of lateral meniscal tears in anterior cruciate ligament injuries.Journal of orthopaedic surgery and research · 2026Article
- Muscle fatigue affects dynamic tibiofemoral movements during jumping tasks in healthy participants.Journal of experimental orthopaedics · 2026Article
- Influence of the Medial and Lateral Posterior Tibial Slope on Anterior Tibial Translation During Gait in Anterior Cruciate Ligament-Deficient Knees.Orthopaedic journal of sports medicine · 2025Article
- Targeted adjustment of the posterior tibial slope in unicompartmental knee arthroplasty is feasible without altering the medial proximal tibial angle.Journal of experimental orthopaedics · 2025Article
- The Association Between Concomitant Meniscal Tear, Tibial Slope, Static Knee Position, and Anterior Knee Laxity in ACL-Deficient Patients.Orthopaedic journal of sports medicine · 2025Article
- Evaluation of Anterior Tibial Translation Under Physiological Axial Load After ACL Reconstruction With Lateral Extra-articular Tenodesis.Orthopaedic journal of sports medicine · 2024Article
- Correlation of Tibial Tubercle Overgrowth With Increased Posterior Tibial Slope: A Novel Radiographic Assessment.Orthopaedic journal of sports medicine · 2024Article
- Posterior tibial slope and meniscal slope correlate with in vivo tibial internal rotation during running and drop jump.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- In slope-changing osteotomy one millimeter is not one degree: results of an artificial intelligence-automated software analysis.International orthopaedics · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe amount of passive anterior tibial translation (ATT) is known to be correlated to the amount of posterior tibial slope (PTS) in both anterior cruciate ligament-deficient and reconstructed knees. Slope-altering osteotomies are advised when graft failure after anterior cruciate ligament (ACL) reconstruction occurs in the presence of high PTS. This recommendation is based on studies neglecting the influence of muscle activation. On the other hand, if dynamic range of tibial rotation (rTR) is related to the amount of PTS, a "simple" anterior closing-wedge osteotomy might not be sufficient to control for tibial rotation. The purpose of this study was to evaluate the correlation between the amount of PTS and dynamic ATT and tibial rotation during high demanding activities, both before and after ACL reconstruction. We hypothesized that both ATT and rTR are strongly correlated to the amount of PTS.
methodsTen subjects were studied both within three months after ACL injury and one year after ACL reconstruction. Dynamic ATT and dynamic rTR were measured using a motion-capture system during level walking, during a single-leg hop for distance and during a side jump. Both medial and lateral PTS were measured on MRI. A difference between medial and lateral PTS was calculated and referred to as Δ PTS. Spearman's correlation coefficients were calculated for the correlation between medial PTS, lateral PTS and Δ PTS and ATT and between medial PTS, lateral PTS and Δ PTS and rTR.
resultsLittle (if any) to weak correlations were found between medial, lateral and Δ PTS and dynamic ATT both before and after ACL reconstruction. On the other hand, a moderate-to-strong correlation was found between medial PTS, lateral PTS and Δ PTS and dynamic rTR one year after ACL reconstruction.
conclusionDuring high-demand tasks, dynamic ATT is not correlated to PTS. A compensation mechanism may be responsible for the difference between passive and dynamic ATT in terms of the correlation to PTS. A moderate-to-strong correlation between amount of PTS and rTR indicates that such a compensation mechanism may fall short in correcting for rTR. These findings warrant prudence in the use of a pure anterior closing wedge osteotomy in ACL reconstruction.
trial registrationNetherlands Trial Register, Trial 7686 . Registered 16 April 2016-Retrospectively registered. LEVEL OF EVIDENCE: Level 2, prospective cohort study.
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