SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
An increased posterior tibial slope is associated with a higher risk of graft failure following ACL reconstruction: a systematic review.
Synthesis 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 44 papers, 2 of them syntheses that pooled it.
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.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Lateral Extra-articular Tenodesis With Anterior Cruciate Ligament Reconstruction in Pediatric and Skeletally Immature Patients: A Systematic Review and Meta-analysis.The American journal of sports medicine · 2026Pooled it
- Posterior tibial slope, notch width index and tibial tubercle to trochlear groove distance contribute to development of mucoid degeneration of the anterior cruciate ligament: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Proximal anatomical axes show bidirectional variability: Accurate tibial slope requires mechanical axis measurement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- The Impact of Differential Posterior Tibial Slope on Clinical Outcomes Following Revision ACL Surgery: A Retrospective Single-Centre Study.Journal of clinical medicine · 2026Article
- 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
- Posterior tibial slope is associated with ACL status rather than demographic factors: A cohort of 1406 patients.Journal of experimental orthopaedics · 2026Article
- Meniscus Pathology in the Setting of Revision ACL Surgery: Unique Considerations.Current reviews in musculoskeletal medicine · 2026Review
- Morphologic Factors Associated With Secondary Anterior Cruciate Ligament Injury After Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- A Novel Assessment of Infratubercle Sagittal Proximal Tibial Morphology and Relationship to Full Length Posterior Tibial Slope: Lateral Infratubercle Angle.Orthopaedic journal of sports medicine · 2026Article
- Posterior tibial slope interpretation is method-dependent: No universal threshold for defining abnormality in primary and recurrent ACL rupture.Journal of experimental orthopaedics · 2026Article
- A Smaller Posterior Tibial Slope May Be Associated with an Increased Risk of Tears in the Anterior Horn of the Lateral Meniscus.Clinics in orthopedic surgery · 2026Article
- Middle Eastern male ACL-deficient patients exhibit steeper posterior tibial slope than European counterparts: A cross-cultural matched cohort study.Journal of experimental orthopaedics · 2026Article
- A Cost-Effectiveness Analysis of the Addition of Autograft Lateral Extra-Articular Procedures to Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- No differences at return to sport in psychological profiles and results of muscle function tests between females with and without a second ipsilateral or contralateral ACL injury after ACL reconstruction.BMC sports science, medicine & rehabilitation · 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
- Effects of axial malrotation on posterior tibial slope measurement: a digitally reconstructed radiograph study enabling automated quality assessment.Knee surgery & related research · 2026Article
- Increased medial posterior tibial slope is associated with medial compartment osteoarthritis of the knee.Journal of experimental orthopaedics · 2026Article
- Correlation Between Radiographic and MRI Posterior Tibial Slope Measurement on a Pediatric Population.Journal of clinical medicine · 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
- Higher precision and preservation of frontal plane alignment in slope-reducing infra-tubercle compared to retro-tubercle high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe posterior tibial slope (PTS) is considered a risk factor for anterior cruciate ligament (ACL) injury. However, the influence of PTS on graft failure following ACL reconstruction remains relatively unknown. Therefore, this systematic review was conducted to investigate whether PTS could be a potential risk factor for graft failure after ACL reconstruction.
methodsPubMed, EMBASE, Cochrane Library, Web of Science, China National Knowledge Infrastructure Database, and Wanfang Database were comprehensively searched from inception to March 31, 2021. Observational studies reporting the associations of medial tibial plateau slope (MTPS) or lateral tibial plateau slope (LTPS) with graft failure after ACL reconstruction were evaluated.
resultsTwenty studies involving 12 case-control studies, 4 retrospective studies and 4 cross-sectional studies including 5326 patients met the final inclusion criteria. The high heterogeneity and the characteristics of nonrandomized controlled trials limited data synthesis. Fifteen of the 20 included studies detected a significant association between increased PTS and ACL graft failure, while 5 studies concluded that increased PTS was not associated with ACL graft failure. Ten studies suggested that MTPS is associated with ACL graft failure, and six studies suggested that LTPS is associated with ACL graft failure. The mean MTPS values for nonfailure group ranged from 3.5° ± 2.5° to 14.4° ± 2.8°. For the graft failure group, MTPS ranged from 4.71° ± 2.41° to 17.2° ± 2.2°. The mean LTPS values for nonfailure group ranged from 2.9° ± 2.1° to 11.9° ± 3.0°. For the graft failure group, LTPS ranged from 5.5° ± 3.0° to 13.3° ± 3.0°. The reported PTS values that caused ACL graft failure was greater than 7.4° to 17°.
conclusionBased on the current clinical evidence, increased PTS is associated with a higher risk of ACL graft failure after ACL reconstruction. Despite various methods of measuring PTS have high reliability, there is still vast disagreement in the actual value of PTS. LEVEL OF EVIDENCE: IV.
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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.