ArticleThe American journal of sports medicine2021
Graft Survivorship After Anterior Cruciate Ligament Reconstruction Based on Tibial Slope.
Article in The American journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 38 citations in OpenAlex.
- Management of increased posterior tibial slope in ACL deficiency: A narrative review and recommendation of the Osteotomy Committee of the German Knee Society.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- [The posterior tibial slope as an intrinsic risk factor : Biomechanical principles, diagnostic challenges, and sagittal correction-A literature review].Orthopadie (Heidelberg, Germany) · 2026Review
- Anterior open wedge high tibial osteotomy for slope correction as a successful method in PCL insufficiency-Radiological and clinical results of a cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- What does a failure in anterior cruciate ligament reconstruction really mean? An integrative view.Knee surgery & related research · 2026Review
- Bone morphology as a significant risk factor for anterior cruciate ligament injury.NPJ digital medicine · 2026Article
- A higher posterior tibial slope and tunnel malposition do not predispose to non-traumatic anterior cruciate ligament failure.Journal of experimental orthopaedics · 2026Article
- Increased medial posterior tibial slope is associated with medial compartment osteoarthritis of the knee.Journal of experimental orthopaedics · 2026Article
- Individualized indication for slope changing osteotomy in ACL insufficiency: the Avalanche Concept.Archives of orthopaedic and trauma surgery · 2025Article
- 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
- High posterior tibial slope is associated with higher failure rates in nonoperative management of primary anterior cruciate ligament injury.Journal of experimental orthopaedics · 2025Article
- Article
- Comparison of Posterior Tibial Slope Measurement Methods Based on 3-Dimensional Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Slope reducing high tibial osteotomy and revision anterior cruciate ligament reconstruction leads to satisfying clinical results and a low failure rate.Journal of experimental orthopaedics · 2025Article
- Infratuberositary slope-decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Axial rotation of the hinge axis can cause changes in coronal tibial alignment in anterior tibial closing wedge osteotomy in a 3D simulation model.Journal of experimental orthopaedics · 2025Article
- Evaluating the Mechanical Axis for Detection of Posterior Tibial Slope Malalignment in ACL-Deficient Knees on Lateral Radiographs.Orthopaedic journal of sports medicine · 2025Article
- Accuracy of Combined High Tibial Slope Correction Osteotomy Using 3-Dimensional-Planned Patient-Specific Instrumentation.The American journal of sports medicine · 2024Article
- Lateral Extraarticular Tenodesis in Revision Anterior Cruciate Ligament Reconstruction: An Analysis of Clinical Outcomes and Failure Rates.Journal of clinical medicine · 2024Article
- Increased medial tibial slope is a possible risk factor for patellar cartilage lesions.Journal of experimental orthopaedics · 2024Article
- Additional suture augmentation to anterior cruciate ligament reconstruction with hamstring autografts bring no benefits to clinical results, graft maturation and graft-bone interface healing.BMC musculoskeletal disorders · 2024Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreased tibial slope (TS) is believed to be a risk factor for anterior cruciate ligament (ACL) tears. Increased TS may also promote graft insufficiency after ACL reconstruction. PURPOSE: To delineate the relationship between TS and single as well as multiple graft insufficiencies after ACL reconstruction. STUDY
designCohort study; Level of evidence 3.
methodsWe retrospectively identified 519 patients who had sustained ACL graft insufficiency after primary or revision ACL reconstruction (1 graft insufficiency, group A; 2 graft insufficiencies, group B; and ≥3 graft insufficiencies, group C). In addition, a subgroup analysis was conducted in 63 patients who received all surgical interventions by 2 specialized high-volume, single-center ACL surgeons. TS was measured by an observer with >10 years of training using lateral knee radiographs, and intrarater reliability was performed. Multiple logistic and univariate Cox regression was used to assess the contribution of covariates (TS, age, sex, and bilateral ACL injury) on repeated graft insufficiency and graft survival.
resultsThe study included 347 patients, 119 female and 228 male, who were 24 ± 9 years of age at their first surgery (group A, n = 260; group B, n = 62; group C, n = 25). Mean TS was 9.8°± 2.7° (range, 3°-18°). TS produced the highest adjusted odds ratio (1.73) of all covariates for repeated graft insufficiency. A significant correlation was found between TS and the number of graft insufficiencies (
conclusionThe current results indicate that patients with a markedly increased TS were at risk of early and repeated graft insufficiency after ACL reconstruction. Because the TS is rarely accounted for in primary and revision ACLR, isolated soft tissue procedures only incompletely address recurrent graft insufficiency in this subset of patients.
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