ArticleArchives of orthopaedic and trauma surgery2024
The increased lateral tibial slope may result in inferior long-term clinical outcome after DB-ACL reconstruction.
Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 6 citations in OpenAlex.
- Association of Tibial Slope Morphology and Lateral-Medial Tibial Slope Asymmetry With Revision ACL Reconstruction in an Asian Cohort.Orthopaedic journal of sports medicine · 2026Article
- Association between femoral notch area and patient-reported outcomes after anterior cruciate ligament reconstruction.BMC musculoskeletal disorders · 2026Article
- Predicting ACL Reconstruction Failure with Machine Learning: Development of Machine Learning Prediction Models.Orthopaedic journal of sports medicine · 2025Article
- Correlation of medial tibial slope and lateral tibial slope measured on radiographs and magnetic resonance imaging in patients with anterior cruciate ligament injury.Joint diseases and related surgery · 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 potential of posterior cruciate ligament buckling phenomenon as a sign for partial anterior cruciate ligament tears.Archives of orthopaedic and trauma surgery · 2024Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
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Abstract
purposeTo determine if there is a correlation between lateral tibial slope and long-term clinical results in patients who underwent double-bundle ACL reconstruction.
methodsWe retrospectively reviewed patients that received double-bundle ACL reconstruction at a single institution by a single surgeon from January 2011 to December 2014. All the magnetic resonance imaging were reviewed and lateral tibial slopes (LTS) were recorded by an experienced surgeon and rechecked by the other two authors of this study that specialized in orthopedic knee surgery. The relationship between PROMs measurement and lateral tibial slope were analyzed. The patients were then separated into two groups (LTS > 7.4° and < 7.4°) according to the previous study.
resultsA total of 119 patients were enrolled in this study. All enrolled patients were followed for at least 8 years. The PROMS result were negatively correlated with the lateral tibial slope (p values all < 0.001). The patients with high lateral tibial slope had significantly lower PROMS values (Lysholm 94.26 ± 5.61 vs 80.15 ± 8.28, p = 0.013; IKDC 82.99 ± 4.55 vs 70.09 ± 7.15, p = 0.003; Tegner 9.32 ± 0.95 vs 6.85 ± 1.99, p < 0.001). Finally, the LTS cutoff value between patients with "Good" and "Fair" Lysholm score in our study was 7.55 degrees.
conclusionsPatients with high lateral tibial slope may result in inferior long-term subjective outcomes. The using of double-bundle ACL reconstruction along cannot overcome the negative impact caused by steep lateral tibial slope. A lateral tibial slope of 7.55° may be used as a cut-off for a good clinical outcome. LEVEL OF EVIDENCE: III retrospective comparative prognostic trial.
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