Evidence map›Paper›PMID 41245721›Full record

ArticleJournal of experimental orthopaedics2025

Large magnetic resonance imaging-based medial posterior tibial slope is associated with time-dependent worsening of rotational knee laxity after anterior cruciate ligament reconstruction.

Kensaku Abe, Hiroaki Fukushima, Shunta Hanaki, Kyohei Ota, Makoto Kobayashi, Yusuke Kawanishi, Jiro Kato, Satoru Demura, Hideki Murakami, Masahiro Nozaki

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Article
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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.

Kensaku AbeDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0002-7405-9019
Hiroaki FukushimaDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Shunta HanakiDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Kyohei OtaDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Makoto KobayashiDepartment of Orthopaedic Surgery Nagoya City University Midori Municipal Hospital Nagoya Japan.
Yusuke KawanishiDepartment of Orthopaedic Surgery Ogaki Municipal Hospital Ogaki Japan.
Jiro KatoDepartment of Orthopaedic Surgery Kasugai Municipal Hospital Kasugai Japan.
Satoru DemuraDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences Kanazawa University Kanazawa Japan.
Hideki MurakamiDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Masahiro NozakiDepartment of Orthopaedic Surgery Nagoya City University Graduate School of Medical Sciences Nagoya Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To examine the relationship between posterior tibial slope (PTS) and knee laxity before, during and after anterior cruciate ligament (ACL) reconstruction, using anterior tibial translation (ATT) measured as an arthrometer-based side-to-side difference and rotational laxity assessed during the pivot shift test via clinical grade and inertial sensor-based measurements of tibial acceleration and external rotational angular velocity (ERAV). Methods: This retrospective cohort study assessed patients who underwent primary ACL reconstruction with subsequent hardware removal. Medial PTS (MPTS), lateral PTS (LPTS) and slope asymmetry ( | MPTS-LPTS | ) were measured using magnetic resonance imaging. Based on a recent review, binary strata were defined as MPTS ≥ 9.05° versus <9.05° and LPTS ≥ 9.55° versus <9.55°, and comparisons were performed accordingly. Knee laxity was evaluated at three time points: preoperatively, at time-zero (intraoperatively during temporary graft fixation), and postoperatively (at the time of hardware removal), using ATT, pivot shift grade, acceleration and ERAV. Variables with Results: A total of 106 patients (24.3 ± 10.3 years; 37.7% male; 22.4 ± 2.7 kg/m Conclusion: Large MPTS was associated with increased postoperative rotational laxity, although no laxity was noted intraoperatively during temporary fixation. These results indicate that certain tibial slope morphologies may drive the onset of laxity. Preoperative assessment may help identify at-risk patients and optimize surgical strategy. Level of Evidence: Level IV.

Indexed as

accelerationanterior tibial translationexternal rotational angular velocityinertial sensorpivot shift test

Identifiers

PMID41245721
PMCPMC12616262

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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.