ArticleJournal of experimental orthopaedics2026
Failed anterior cruciate ligament reconstructions have both increased posterior tibial slope and increased posterior tibial plateau offset.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- 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 · 2026Article
- Posterior tibial slope is associated with ACL status rather than demographic factors: A cohort of 1406 patients.Journal of experimental orthopaedics · 2026Article
- Advances in anterior cruciate ligament reconstruction: Risk stratification, graft choices, and functional recovery in 2026.Journal of experimental orthopaedics · 2026Review
- Failed anterior cruciate ligament reconstructions have both increased posterior tibial slope and increased posterior tibial plateau offset.Journal of experimental orthopaedics · 2026Article
- Radiographic medial posterior tibial slope ≥16° predicts multiple revisions after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2026Article
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Authors and funding
8 authors.
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Abstract
Purpose: This study introduces the posterior tibial plateau offset (PTO). It was hypothesised that (1) the PTO is reliably quantifiable and (2) correlates with the posterior tibial slope (PTS). Methods: The study involved lateral radiographs of patients who sustained an anterior cruciate ligament (ACL) graft failure and a control group. Exclusion criteria were skeletal immaturity, osteoarthritis (Kellgren and Lawrence grade > I), lateral radiographs with <15 cm of tibial shaft, or malrotated radiographs. The PTS was measured in both groups. The PTO was defined as the relative distance from the posterior tibial plateau to the tibial shaft axis in relation to the sagittal diameter of the tibial plateau (in%). Linear correlation assessed the PTS to PTO association. Results: A total of 146 patients (ACL graft failure, Conclusion: The PTO is a simple and repeatable measurement. A higher PTS is associated with a greater PTO, and the variability of the PTO across the patients with ACL graft failure and the control group was high. When planning osteotomy levels in the highly sloped proximal tibia, the PTO may be considered to optimise individualised planning for patients with failed ACL reconstruction. Level of Evidence: Level V.
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