ArticleCurrent reviews in musculoskeletal medicine2022
Considerations of the Posterior Tibial Slope in Anterior Cruciate Ligament Reconstruction: a Scoping Review.
Article in Current reviews in musculoskeletal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- A simple planning tool for tibial slope osteotomy-Osteotomy depth is a precise parameter to determine wedge height.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- A Research Hotspot-Guided Meta-Analysis of Anterior Closing-Wedge High Tibial Osteotomy in Revision Anterior Cruciate Ligament Reconstruction.Bioengineering (Basel, Switzerland) · 2026Article
- Anterior Cruciate Ligament Reconstruction Failure: Etiology, Classification, and Revision Strategies-A Narrative Review.Journal of functional morphology and kinesiology · 2026Review
- [Knee osteotomies-Indication, planning and technical considerations].Orthopadie (Heidelberg, Germany) · 2026Review
- Micro-computed tomographical and histopathological analyses of medial tibial plateaus from patients with subchondral insufficiency fracture or osteoarthritis of the knee.Arthritis research & therapy · 2026Article
- Failed anterior cruciate ligament reconstructions have both increased posterior tibial slope and increased posterior tibial plateau offset.Journal of experimental orthopaedics · 2026Article
- Does the Medial or Lateral Tibial Slope Have a Greater Effect on ACL Reconstruction Mechanics? A Biomechanical Analysis.Orthopaedic journal of sports medicine · 2026Article
- Comparison of Posterior Tibial Slope Measurement Methods Based on 3-Dimensional Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Increased Posterior Tibial Slope Is Associated with Isolated Meniscal Injuries: A Case-Control Study.Medicina (Kaunas, Lithuania) · 2025Article
- [Relationship between knee meniscus and posterior tibial slope in healthy adults and patients with anteromedial osteoarthritis in Heilongjiang province].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- A small notch width index, steeper medial and lateral tibial slope and higher lateral/medial tibial slope ratio are relevant knee morphological factors for ACL injuries in skeletally immature patients-A systematic review.Journal of experimental orthopaedics · 2025Article
- 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
- Glenolabral Articular Disruption (GLAD) Is Not Associated with Worse Outcomes or Higher Instability Recurrence after Arthroscopic Bankart Repair-A Matched-Pair Analysis.Journal of clinical medicine · 2024Article
- Correlation between higher lateral tibial slope and inferior long term subjective outcomes following single bundle anterior cruciate ligament reconstruction.Journal of orthopaedic surgery and research · 2024Article
- The increased lateral tibial slope may result in inferior long-term clinical outcome after DB-ACL reconstruction.Archives of orthopaedic and trauma surgery · 2024Article
- Evaluation of the relationship of posterior tibial slope with gender and age in Turkish population with 3 different methods.BMC musculoskeletal disorders · 2024Article
- Do age, gender, and region affect tibial slope? A multi-center study.Archives of orthopaedic and trauma surgery · 2023Article
- [Risk factors for contralateral anterior cruciate ligament injury after primary anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- The 50 most cited studies on posterior tibial slope in joint preserving knee surgery.Journal of experimental orthopaedics · 2022Article
- Simultaneous Arthroscopic Anterior Cruciate Ligament Reconstruction Using Double Suspensory Technique and Medial Open-Wedge, High Tibial Osteotomy.Arthroscopy techniques · 2022Article
Corrections and comments
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewThe significance of posterior tibial slope (PTS) in the setting of anterior cruciate ligament (ACL) injury and reconstruction has been increasingly recognized in recent years. The purpose of this article is to review the biomechanical and clinical studies of PTS in conjunction with ACL injuries, providing an evidence-based approach for the evaluation and management of this patient population. RECENT
findingsSeveral biomechanical and clinical studies suggest that PTS > 12° may be considered with increased strain on the native ACL fibers (or reconstructed graft) and greater anterior tibial translation, predisposing patients to a recurrent ACL injury. The increased rates of ACL injury and graft failure seen in those with increased PTS have garnered attention to diagnose and surgically address increased PTS in the revision ACL setting; however, the role of a slope-reducing high tibial osteotomy (HTO) in primary ACL reconstruction (ACL-R) has yet to be defined. Various HTO techniques to decrease PTS during revision ACL-R have demonstrated promising outcomes, though conclusions are limited by the multifactorial nature of revision surgery and concomitant procedures performed. Recent evidence suggests that increased PTS is a risk factor for failure following ACL-R, which may be mitigated by a slope-reducing HTO. Further investigation is needed to elucidate abnormal PTS values and to determine appropriate indications for a slope-reducing HTO in primary ACL-R.
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