Considerations of the Posterior Tibial Slope in Anterior Cruciate Ligament Reconstruction: a Scoping Review

Nazzal, Ehab M.; Zsidai, Bálint; Pujol, Oriol; Kaarre, Janina; Curley, Andrew J.; Musahl, Volker

doi:10.1007/s12178-022-09767-2

Cited by 16 publications

(7 citation statements)

References 60 publications

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“…However, to our knowledge, no study has evaluated knee instability in patients with this fracture after ACLR by comparing it alone or with anterolateral reconstruction. Finally, it has been established that a tibial slope greater than 12° increases the risk of ACL retear [33]. The use of osteotomy to correct the tibial slope in primary ACLR has shown good outcomes [34]; nevertheless, it is a challenging surgery with a rate of complications higher than that of extra-articular techniques [35].…”

Section: Discussionmentioning

confidence: 99%

Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction

Barahona

Mosquera

Pádua³

et al. 2023

Journal of ISAKOS

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Section: Discussionmentioning

confidence: 99%

Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction

Barahona

Mosquera

Pádua³

et al. 2023

Journal of ISAKOS

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“…With similar mechanisms of action, an increase in PTS may lead to abrasion of the polyethylene prosthesis placed with TKA and ultimately to aseptic loosening of the prosthesis. A reduced tibial slope can result in a forward shift of the line of force, reduced range of knee joint motion and flexion, and increased postoperative stiffness [ 2 , 19 – 22 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the relationship of posterior tibial slope with gender and age in Turkish population with 3 different methods

Kavak,

Kaya

2024

BMC Musculoskelet Disord

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Background This study aimed to reveal the posterior tibial slope (PTS) angle with 3 different methods in a large case group in the Turkish population. In addition, the reproducibility of the measurement methods used was questioned while determining the age groups, gender and side relationship of this angle. Materials and methods In our retrospective study, radiographs of both knees were evaluated in all 610 patients (344 women, 56.4%) aged 25–65 years. PTS angles were measured by a radiologist and an orthopedist using anterior tibial cortex (ATC), posterior tibial cortex (PTC) and proximal tibial anatomical axis (PTAA) methods. The relationship of these angles with age group and gender, and the intra-class and inter-class correlations of all three methods were evaluated. Results The mean and standard deviation (SD) of PTS angle was 11.03 ± 2.33° with ATC method, 6.25 ± 2.22° with PTC and 8.68 ± 2.16° with PTAA, and the difference was significant (p < .001). In the evaluation according to age groups, the highest mean PTS angles were detected in cases aged 25–35 (9.63 ± 1.97° [mean ± SD] by PTAA method), and there was a significant difference in comparison with other age groups (p < .05). In comparison with age groups, higher mean PTS angles were found in women and on the right side, but the difference was not statistically significant (p > .05). The intraclass and interclass correlation coefficient (ICC) of all three methods was excellent (ICC > 0.91). Conclusion This study emphasizes that the mean PTS angle in Turkish population is higher than the angle values recommended by prosthesis manufacturers, and factors such as patient age and gender should be calculated in order to ensure more effective prostheses to be applied to patients.

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“…1 Recent evidence shows that realignment of the joint is not as crucial as maintaining joint stability, especially in patients with ACL injury, but there are still some indications coming up with the importance of combined knee realignment and ACLR procedures. 2 Indications for osteotomy in ACL-deficient varus knee include varus alignment with early medial compartment arthritis (Ahlbäck grades 1-3), previous meniscectomy, and medial compartment overload, meniscal or chondral injury (candidate for meniscal transplant or cartilage repair), increased posterior tibial slope >12° in the sagittal plane, 3 and presence of double or triple varus. 4 , 5 Table 1 several techniques have been previously described for high tibial osteotomy (HTO) and ACLR, either as a single- or double-stage procedure.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Arthroscopic Anterior Cruciate Ligament Reconstruction Using Double Suspensory Technique and Medial Open-Wedge, High Tibial Osteotomy

Toofan

Irani²,

Ghadimi³

et al. 2022

Arthroscopy Techniques

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Considerations of the Posterior Tibial Slope in Anterior Cruciate Ligament Reconstruction: a Scoping Review

Cited by 16 publications

References 60 publications

Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction

Latin American formal consensus on the appropriate indications of extra-articular lateral procedures in primary anterior cruciate ligament reconstruction

Evaluation of the relationship of posterior tibial slope with gender and age in Turkish population with 3 different methods

Simultaneous Arthroscopic Anterior Cruciate Ligament Reconstruction Using Double Suspensory Technique and Medial Open-Wedge, High Tibial Osteotomy

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