ArticleJournal of experimental orthopaedics2022
Steeper lateral posterior tibial slope and greater lateral-medial slope asymmetry correlate with greater preoperative pivot-shift in anterior cruciate ligament injury.
Article in Journal of experimental orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 15 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
- Posterior tibial slope is associated with ACL status rather than demographic factors: A cohort of 1406 patients.Journal of experimental orthopaedics · 2026Article
- Increased lateral posterior tibial slope and greater tibiofemoral rotation are associated with a higher risk of lateral meniscal tears in anterior cruciate ligament injuries.Journal of orthopaedic surgery and research · 2026Article
- Lateral meniscus repair contributes to controlling pivot shift in patients undergoing anterior cruciate ligament reconstruction with steeper lateral posterior tibial slope.Journal of experimental orthopaedics · 2026Article
- Anterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedure.Journal of experimental orthopaedics · 2026Article
- Evaluation of the anterior cruciate ligament-injured high-level athlete: a narrative review.Annals of joint · 2026Review
- Does the Medial or Lateral Tibial Slope Have a Greater Effect on ACL Reconstruction Mechanics? A Biomechanical Analysis.Orthopaedic journal of sports medicine · 2026Article
- 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
- Large magnetic resonance imaging-based medial posterior tibial slope is associated with time-dependent worsening of rotational knee laxity after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Younger age, medial meniscectomy and remnant-sacrificing reconstruction techniques affect residual pivot shift after anterior cruciate ligament reconstruction using hamstring tendons.Journal of experimental orthopaedics · 2025Article
- Anterior Slope-Modifying Osteotomies Alter the Length Change Behavior of the Superficial Medial Collateral Ligament: A Biomechanical Study.The American journal of sports medicine · 2024Article
- Bone morphology features associated with knee kinematics may not be predictive of ACL elongation during high-demand activities.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the association between posterior tibial slope (PTS) and preoperative pivot-shift phenomenon in anterior cruciate ligament (ACL)-injured knees.
methodsFifty unilateral ACL-injured patients (mean age: 28.0 ± 11.4 years, 29 males) who underwent ACL reconstruction were retrospectively included. Patients with a history of injury to the ipsilateral knee joint, concomitant ligament injuries with ACL injury, and/or more than one year from injury to surgery, were excluded. Pivot-shift tests were performed preoperatively under general anaesthesia using an electromagnetic measurement system, and tibial acceleration (m/s
resultsMedial PTS was 4.9 ± 2.0°, and lateral PTS was 5.2 ± 1.9°. The lateral-medial slope asymmetry was 0.3 ± 1.6° (range: -2.9 to 3.8). Tibial acceleration during the pivot-shift test in the ACL-injured knee was 1.6 ± 0.1 m/s
conclusionPreoperative greater tibial acceleration during the pivot-shift test was associated with steeper lateral PTS and greater lateral-medial slope asymmetry in ACL-injured knees. These findings improve our understanding of anterolateral rotatory knee laxity by linking tibial bony morphology to quantitative measurement of pivot-shift phenomenon. Surgeons should be aware that not only lateral PTS but also lateral-medial slope asymmetry are the factors associated with preoperative pivot-shift. LEVEL OF EVIDENCE: Level IV.
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