Análise da inclinação tibial posterior como fator de risco para lesão do ligamento cruzado anterior

Filho, Pedro Guilme Teixeira de Sousa; Marques, Andre Cavalcante; Pereira, Leonardo Soares; Pigozzo, Breno Almeida; Albuquerque, Rodrigo Pires e

doi:10.1055/s-0040-1712495

Cited by 2 publications

(1 citation statement)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, another study found a statistically significant association only between lateral PTS and ACL injuries, not medial PTS [ 12 ]. Additionally, one study suggested that individuals with a PTS above 8° were at an increased risk of ACL injury [ 13 ]. Notably, while ACL injury has been associated with lateral posterior tibial inclination, a meta-analysis suggests that both medial and lateral posterior tibial inclination are linked to ACL injuries [ 11 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

Association Between Posterior Tibial Slope and Clinical Outcomes After Isolated Anterior Cruciate Ligament Reconstructions

Kasman,

Surucu,

Korkmaz

2023

Cureus

View full text Add to dashboard Cite

Background Increased posterior tibial slope (PTS) is an important risk factor for non-traumatic graft failure and revision surgery after anterior cruciate ligament reconstruction. If a tibial posterior slope is an important factor for graft failure after anterior cruciate ligament reconstruction, does it affect clinical outcomes? This study aimed to evaluate the association between PTS and clinical outcomes after anterior cruciate ligament reconstruction. Material and methods Patients undergoing arthroscopic anterior cruciate ligament reconstruction with hamstring tendons in the clinic were evaluated retrospectively. Inclusion criteria were: patients with at least an 18-month follow-up period who were evaluated with the Tegner Lysholm scoring system, aged between 18 and 40 years, with only an anterior cruciate ligament rupture. PTSs were measured from the lateral radiographs of the knees. The patients were divided into two groups with a PTS of 10° or less. Results The mean Tegner Lysholm score was 86.8 ± 8.9. The mean PTS was 9.7° ± 1.5°. In total, 14 and 15 patients had a PTS of above 10° and below 10°, respectively. The mean age and follow-up time of patients were 28.5 ± 5.3 years and 24.6 ± 7.2 months in the group with a PTS of above 10° and 30.2 ± 5.3 years and 24.2 ± 5.18 months in the group with a PTS of below 10°, respectively. Tegner Lysholm scores were 88.2 ± 8.8 and 85.6 ± 9.1 in the group with values above 10° and below 10°, respectively. Statistically, there was no significant difference between the clinical outcomes of both groups. Conclusion PTS does not affect the clinical outcomes of patients who underwent arthroscopic anterior cruciate ligament reconstruction in the early period.

show abstract

Section: Discussionmentioning

confidence: 99%

Association Between Posterior Tibial Slope and Clinical Outcomes After Isolated Anterior Cruciate Ligament Reconstructions

Kasman,

Surucu,

Korkmaz

2023

Cureus

View full text Add to dashboard Cite

show abstract

Radiographic measurement of the posterior tibial slope in normal Chinese adults: a retrospective cohort study

Chen

Ding

Dai

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Measurement of the posterior tibial slope (PTS) angle has important applications in total knee replacement surgery, high tibial osteotomy, and anterior cruciate ligament reconstruction. This study aimed to determine the mean PTS of knee joints in healthy Chinese adults, and provide data to guide knee surgery in China. Methods A retrospective analysis of 1257 (n = 1233, 50.4% male) plain X-ray films of participants aged 25–59 years was performed. The picture archiving and communication system was used for PTS measurement. The PTS was defined as the angle between the vertical line of the tangent of the anterior tibial cortex of the proximal tibia, and the tangent line of the tibial cortex. Two imaging physicians conducted the PTS measurements independently, and both the inter- and intraclass correlation coefficients (ICCs) were calculated. Results The mean PTS value was 7.68 ± 3.84° (range: 0–21°). The left PTS was significantly smaller in males than in females (7.22 ± 3.89 vs 8.05 ± 3.60; P = 0.005). Additionally, the PTS in participants aged 25–29 years was significantly larger than that in the other age groups (Left side: 8.64 ± 3.73 vs 6.92 ± 3.42, 7.42 ± 3.75, 7.53 ± 3.98; P < 0.001 and Right side: 8.68 ± 3.84 vs 7.48 ± 4.21, 7.13 ± 3.64, 7.66 ± 3.80; P = 0.004). There were no significant differences in PTS between the left and right sides. Two-way analysis of variance suggested that the differences in PTS between age groups were not affected by sex. The interobserver ICC was 0.91 (95% confidence interval [CI]: 0.85–0.94), and the intraobserver ICC was 0.90 (95% CI: 0.82–0.94). Conclusions This study demonstrated that there were significant differences in PTS based on sex and age, highlighting the need to provide individualized treatment for knee surgery. It provided valuable information regarding the normal PTS values in Chinese adults and presented regionalised data to guide knee surgery.

show abstract

Análise da inclinação tibial posterior como fator de risco para lesão do ligamento cruzado anterior

Cited by 2 publications

References 20 publications

Association Between Posterior Tibial Slope and Clinical Outcomes After Isolated Anterior Cruciate Ligament Reconstructions

Association Between Posterior Tibial Slope and Clinical Outcomes After Isolated Anterior Cruciate Ligament Reconstructions

Radiographic measurement of the posterior tibial slope in normal Chinese adults: a retrospective cohort study

Contact Info

Product

Resources

About