Evidence map›Paper›PMID 40390851›Full record

ArticleJournal of experimental orthopaedics2025

Slope reducing high tibial osteotomy and revision anterior cruciate ligament reconstruction leads to satisfying clinical results and a low failure rate.

Lorenz Fritsch, Konstantin Dworschak, Maximilian Hinz, Philipp W Winkler, Bastian Scheiderer, Sebastian Siebenlist, Romed Vieider, Lukas Willinger, Stefan Hinterwimmer, Julian Mehl

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. A simple planning tool for tibial slope osteotomy-Osteotomy depth is a precise parameter to determine wedge height.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lorenz FritschDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0009-0005-4098-2779
Konstantin DworschakDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.
Maximilian HinzDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-2649-8420
Philipp W WinklerDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-3997-1010
Bastian ScheidererDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0009-0006-3592-6999
Sebastian SiebenlistDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-4777-3639
Romed VieiderDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-0342-8403
Lukas WillingerDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.
Stefan HinterwimmerDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-4367-8730
Julian MehlDepartment of Sports Orthopaedics Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-9965-5722

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to assess clinical and radiological outcomes after two-staged slope-reducing high tibial osteotomy (HTO) and revision anterior cruciate ligament reconstruction (ACLR) for recurrent ACL insufficiency with an increased posterior tibial Slope (PTS) > 12°. Methods: Patients operated in two centres between 01/2015 and 01/2022 were included after a minimum follow-up of 24 months after revision ACLR. The postoperative pain and the following scores were obtained: IKDC, KOOS, Lysholm, TAS. The Slope was measured using the Dejour technique postoperatively using lateral X-rays being compared to a preoperative X-ray. Also, a clinical examination including range of motion, anterior + posterior translation and pivot-shift were performed. The Rolimeter was used for anterior tibial translation (ATT). Results: Twenty-four patients (18 m, 6 f; age: 27 ± 8 y) were examined after a mean follow-up of 34 ± 10 months. PTS was reduced from 15.2° ± 2.4° to 5.7° ± 3.8°. Scores at final follow-up: IKDC 75.5 ± 1.5, Lysholm 79.9 ± 12.7, KOOS 77.5 ± 11.5, TAS was 5 (interquartile range 4-7). Postoperative Pain was significantly reduced (VAS: 4.0 ± 2.8 vs. 1.4 ± 1.3; Conclusion: Combined slope-reducing HTO and ACLR lead to good clinical outcomes, high patient satisfaction, and a low failure rate. Patients were able to return to activity, but often at a lower sports level. Anterior tibial translation remains slightly increased compared to the healthy side. Level of Evidence: Therapeutic study Level IV, case series.

Indexed as

anterior closing wedge osteotomyanterior cruciate ligament reconstructionclinical outcomeposterior tibial sloperevisionslope‐reducing osteotomy

Identifiers

PMID40390851
PMCPMC12086801

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.