ArticleArchives of orthopaedic and trauma surgery2023
Effect of anterior tibial bowing on measurement of posterior tibial slope on conventional X-rays.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Proximal anatomical axes show bidirectional variability: Accurate tibial slope requires mechanical axis measurement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- 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
- Comparison of Radiographic and Patient-Reported Outcomes in Robotic-Assisted Versus Manual Total Knee Arthroplasty Using Medial-Congruent Bearing.Journal of clinical medicine · 2026Article
- Technical tips and tricks for complex biplanar high tibial osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Medial Open-Wedge High Tibial Osteotomy for Double Varus Deformity and an Increased Tibial Slope.Arthroscopy techniques · 2025Article
- Comparative analysis of posterior tibial slope measurements: Accuracy and reliability of radiographs and CT.Journal of orthopaedics · 2025Article
- Biplanar radiographic analysis of knee alignment: a stepwise approach for phenotype classification and knee arthroplasty planning.EFORT open reviews · 2025Review
- [Modified medial wedge osteotomy for correction of double varus deformity and increased tibial slope].Operative Orthopadie und Traumatologie · 2025Review
- Comparison of Posterior Tibial Slope Measurement Methods Based on 3-Dimensional Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Posterior tibial slope is independent of coronal plane knee alignment and needs to be assessed to determine knee phenotype.Journal of 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
- Evaluating the Mechanical Axis for Detection of Posterior Tibial Slope Malalignment in ACL-Deficient Knees on Lateral Radiographs.Orthopaedic journal of sports medicine · 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
- [Subtuberosity anterior closing wedge osteotomy to correct the increased posterior slope of the tibial plateau].Operative Orthopadie und Traumatologie · 2024Review
- Do age, gender, and region affect tibial slope? A multi-center study.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe posterior tibial slope (PTS) has different biomechanical effects on the knee. Especially in revision ACL reconstruction, a precise analysis is essential. Therefore, we investigate the influence of the anterior tibial bowing angle on the posterior slope measurement. Our hypothesis of the present study is that the short tibial X-rays underestimate the PTS in cases with increased anterior bowing of the tibia.
methodsThe PTS was measured on 162 true longitudinal radiographs of the complete tibia (lateral mechanic axis). The average age of the patients was 35.7 years (range 19-59 years) and the most common diagnosis was failed anterior cruciate ligament reconstruction. Using this X-ray, the slope on the short axis and the slope on the entire axis were measured. In addition, the angle of the anterior bowing was determined.
resultsThe mean PTS for the lateral mechanic axis of the tibia was 10.6° (± 3.5) in contrast to 11.6° (± 3.5) for the short tibial axis. These two measurements differ significantly. (p < 0.001). The mean anterior tibial bowing angle on the lateral X-rays of the whole tibia was 2.3° (± 2.0). There is a significant positive, relationship between tibial bowing angle and PTS as referenced by the lateral mechanic axis (Spearman's correlation, r = 0.273 and p < 0.001).
conclusionWith increasing anterior tibial bowing, the posterior tibial slope on the short knee radiograph is underestimated compared to the slope measurement on the lateral mechanic axis.
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