ArticleThe American journal of sports medicine2023
Tibial Slope on Conventional Lateral Radiographs in Anterior Cruciate Ligament-Injured and Intact Knees: Mean Value and Outliers.
Article in The American journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- 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
- Effects of Medial Opening-Wedge High Tibial Osteotomy on 3-Dimensional Knee Joint Biomechanics and Trunk Posture.Orthopaedic journal of sports medicine · 2026Article
- Posterior tibial slope increases over time in patients undergoing revision ACL reconstruction: A long-term radiographic follow-up study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- A higher posterior tibial slope and tunnel malposition do not predispose to non-traumatic anterior cruciate ligament failure.Journal of experimental orthopaedics · 2026Article
- A Research Hotspot-Guided Meta-Analysis of Anterior Closing-Wedge High Tibial Osteotomy in Revision Anterior Cruciate Ligament Reconstruction.Bioengineering (Basel, Switzerland) · 2026Article
- Increased medial posterior tibial slope is associated with medial compartment osteoarthritis of the knee.Journal of experimental orthopaedics · 2026Article
- Age is not a primary risk factor for anterior cruciate ligament injury-A comprehensive review of anterior cruciate ligament injury and reinjury risk factors confounded by young patient age.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Return to sport outcomes after inverted V-shaped (IV) high tibial osteotomy were comparable to those after medial opening-wedge high tibial osteotomy, even though the IV cohort had more severe preoperative disease.Journal of experimental orthopaedics · 2026Article
- Evaluation of the anterior cruciate ligament-injured high-level athlete: a narrative review.Annals of joint · 2026Review
- Individualized indication for slope changing osteotomy in ACL insufficiency: the Avalanche Concept.Archives of orthopaedic and trauma surgery · 2025Article
- Robotically Assisted Anterior Closing Wedge High Tibial Osteotomy: A Surgical Technique Proof of Concept.Arthroscopy techniques · 2025Article
- Survival of anterior cruciate ligament reconstruction in patients with Ehlers-Danlos syndrome: A comparison with anatomic risk factors in existing literature.International orthopaedics · 2025Article
- Article
- Comparison of Posterior Tibial Slope Measurement Methods Based on 3-Dimensional Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Modifiers of the Posterior Tibial Slope as a Predisposing Factor for Anterior Cruciate Ligament Ruptures.Orthopaedic journal of sports medicine · 2025Article
- Slope reducing high tibial osteotomy and revision anterior cruciate ligament reconstruction leads to satisfying clinical results and a low failure rate.Journal of experimental 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
- Association of tibial slope alterations with anterior cruciate ligament (ACL) injury and mucoid degeneration.Skeletal radiology · 2025Article
- Lateral Extraarticular Tenodesis in Revision Anterior Cruciate Ligament Reconstruction: An Analysis of Clinical Outcomes and Failure Rates.Journal of clinical medicine · 2024Article
- Steep medial posterior tibial slope angle and ramp lesion are independent risk factors for an increase in quantitatively measured pivot shift in patients with ACL-deficient knees.Journal of experimental orthopaedics · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn increased tibial slope (TS) has been identified as a risk factor for anterior cruciate ligament (ACL) injury and graft failure after ACL reconstruction. However, different imaging modalities are used to determine the TS, resulting in divergent values. Consequently, no reference values and no consensus on thresholds can be reached, which in turn is mandatory for indicating correction osteotomies when facing outlier TS. PURPOSE: To determine the mean values of the TS and the incidence of their outliers in large cohorts of patients with ACL-injured and noninjured knees and to determine the feasibility of measuring TS on conventional lateral radiographs (CLRs). STUDY
designCross-sectional study; Level of evidence 3.
methodsTS of ACL-injured knees (n = 1000, group A) and ACL-intact knees (n = 1000, group B) was measured by 3 experienced examiners. Medial TS was measured on CLRs using the technique of Dejour and Bonnin. Patients with radiographs with poor image quality, osteoarthritis, previous osteotomies, or nondigital radiographs were excluded. The intra- and interrater reliability was calculated using the intraclass correlation coefficient.
resultsThe mean TS was significantly higher in group A than in group B (10.04°± 3° [range, 2°-22°] vs 9.02°± 2.9° [range, 1°-18°], respectively;
conclusionMedian values for the TS were 9° for uninjured and 10° for ACL-injured knees on CLRs. Notwithstanding its statistical significance, this finding might be negligible in clinical practice. However, a significantly larger number of outliers were found in the ACL-injured group exceeding a TS of 12° and demonstrating an incremental proportion with increasing TS, serving as a potential threshold for correction osteotomy. Furthermore, CLRs in the largest cohort to date exhibited high reproducibility, proving the feasibility of CLRs as a routine measurement for TS.
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