ArticleBMC musculoskeletal disorders2022
Radiographic measurement of the posterior tibial slope in normal Chinese adults: a retrospective cohort study.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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.
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Who cites it
16 citing papers in PubMed, 43 citations in OpenAlex.
- Lateral and Anterior Closing Wedge "9/9" Degree Osteotomy to Correct Both Tibia Vara and Excessive Tibial Slope.Arthroscopy techniques · 2026Article
- Association Between Increased Posterior Tibial Slope and Isolated Meniscal Tears in Patients Aged 18-30 Years.Journal of clinical medicine · 2026Article
- Correlation Between Radiographic and MRI Posterior Tibial Slope Measurement on a Pediatric Population.Journal of clinical medicine · 2025Article
- Biplanar radiographic analysis of knee alignment: a stepwise approach for phenotype classification and knee arthroplasty planning.EFORT open reviews · 2025Review
- Steeper medial posterior tibial slope is associated with bilateral ACL injuries: A radiographic comparison with unilateral cases.Journal of experimental orthopaedics · 2025Article
- Measuring Posterior Tibial Slope: A Comparison Using a 10-cm Anatomic Axis Versus 15-cm Anatomic Axis.Orthopaedic journal of sports medicine · 2025Article
- Occupational motions such as kneeling and squatting are associated with the increased development of medial meniscus posterior root tears, regardless of the medial posterior tibial slope angle.Journal of experimental orthopaedics · 2025Article
- Automated Posterior Tibial Slope Measurement Using Lateral Knee Radiographs: A Novel Landmark-Based Approach Using Deep Learning.Orthopaedic journal of sports medicine · 2025Article
- A morphometric study of posterior tibial slope differences by sex and ethnicity in a South African population.Surgical and radiologic anatomy : SRA · 2025Article
- No significant clinical differences between native or reduced posterior tibial slope in kinematically aligned total knee replacement with posterior cruciate-retaining.Journal of orthopaedics · 2024Article
- Comparison of Clinical and Radiological Outcomes of Total Knee Arthroplasty in Osteoarthritic Patients.Cureus · 2024Article
- The posterior tibial slope affects the measurement reliability regarding the radiographic parameter of the knee.BMC musculoskeletal disorders · 2024Article
- Evaluation of the relationship of posterior tibial slope with gender and age in Turkish population with 3 different methods.BMC musculoskeletal disorders · 2024Article
- The relationship between lateral femoral condyle ratio measured by MRI and anterior cruciate ligament injury.Frontiers in bioengineering and biotechnology · 2024Article
- Investigation of Morphometric Factors Associated With Adolescent ACL Rupture.Orthopaedic journal of sports medicine · 2023Article
- Application of CT-MRI Fusion-Based Three-Dimensional Reconstruction Technique in the Anatomic Study of Posterior Cruciate Ligament.Orthopaedic surgery · 2022Article
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundMeasurement of the posterior tibial slope (PTS) angle has important applications in total knee replacement surgery, high tibial osteotomy, and anterior cruciate ligament reconstruction. This study aimed to determine the mean PTS of knee joints in healthy Chinese adults, and provide data to guide knee surgery in China.
methodsA retrospective analysis of 1257 (n = 1233, 50.4% male) plain X-ray films of participants aged 25-59 years was performed. The picture archiving and communication system was used for PTS measurement. The PTS was defined as the angle between the vertical line of the tangent of the anterior tibial cortex of the proximal tibia, and the tangent line of the tibial cortex. Two imaging physicians conducted the PTS measurements independently, and both the inter- and intraclass correlation coefficients (ICCs) were calculated.
resultsThe mean PTS value was 7.68 ± 3.84° (range: 0-21°). The left PTS was significantly smaller in males than in females (7.22 ± 3.89 vs 8.05 ± 3.60; P = 0.005). Additionally, the PTS in participants aged 25-29 years was significantly larger than that in the other age groups (Left side: 8.64 ± 3.73 vs 6.92 ± 3.42, 7.42 ± 3.75, 7.53 ± 3.98; P < 0.001 and Right side: 8.68 ± 3.84 vs 7.48 ± 4.21, 7.13 ± 3.64, 7.66 ± 3.80; P = 0.004). There were no significant differences in PTS between the left and right sides. Two-way analysis of variance suggested that the differences in PTS between age groups were not affected by sex. The interobserver ICC was 0.91 (95% confidence interval [CI]: 0.85-0.94), and the intraobserver ICC was 0.90 (95% CI: 0.82-0.94).
conclusionsThis study demonstrated that there were significant differences in PTS based on sex and age, highlighting the need to provide individualized treatment for knee surgery. It provided valuable information regarding the normal PTS values in Chinese adults and presented regionalised data to guide knee surgery.
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