ArticleJournal of experimental orthopaedics2024
Age under 20 years, pre-operative participation in pivoting sports, and steep posterior tibial slope of more than 12° are risk factors for graft failure after double-bundle anterior cruciate ligament reconstruction.
Article in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- 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
- Anterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedure.Journal of experimental orthopaedics · 2026Article
- Comparison of patellar tendon and hamstring grafts in ACL reconstruction: patellar tendon shows lower re-rupture rates in high-risk groups and comparable patient-reported outcomes in lower-risk patients.Archives of orthopaedic and trauma surgery · 2026Article
- Age under 20 years, pre-operative participation in pivoting sports, and steep posterior tibial slope of more than 12° are risk factors for graft failure after double-bundle anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2024Article
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9 authors.
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Abstract
Purpose: Younger age and steep posterior tibial slope (PTS) have been reported as risk factors for graft failure after anterior cruciate ligament reconstruction (ACLR). Few studies have evaluated these risk factors simultaneously in a large cohort of patients undergoing double-bundle ACLR (DB-ACLR). Therefore, this retrospective study aimed to simultaneously investigate known risk factors such as PTS and age in DB-ACLR, determine their thresholds and calculate odds ratios (ORs). Methods: We investigated 482 knees that underwent DB-ACLR with a follow-up period of at least 2 years. Receiver operating characteristic analysis determined cut-off values for age and PTS for graft failure. Subsequently, logistic regression analysis was conducted to evaluate the effects of age, sex, height, weight, laterality, surgical waiting period, pre-operative sport type and level, meniscal injury, hyperextension, general joint laxity and PTS on graft failure. Results: Graft failure was observed in 33 out of 482 knees (6.8%). Notably, the graft failure group was significantly younger (18.0 ± 5.0 years [standard deviation] vs. 30.4 ± 13.1 years, Conclusion: We identified an age of <20 years, PTS of ≥12° and pre-operative participation in pivoting sports as significant risk factors for graft failure after DB-ACLR. Level of Evidence: Level III.
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