Posterior Tibial Slope and Further Anterior Cruciate Ligament Injuries in the Anterior Cruciate Ligament–Reconstructed Patient

Abstract

An increased posterior tibial slope is associated with increased odds of a further ACL injury after ACL reconstruction. The increased risk is most pronounced in those with a posterior tibial slope of ≥12°.

Posterior Tibial Slope Influences Static Anterior Tibial Translation in Anterior Cruciate Ligament Reconstruction

“…The risk for ATT 5 mm was 3.5 times higher in patients with a medial PTS .5.6°than a lateral PTS 5.6°. Similarly, Webb et al 21 reported that a threshold of 12°increased the odds of further ACL ruptures by a factor of 5.2 using lateral radiographs.…”

An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width

“…35,37 The investigation of the posterior tibial plateau is still pertinent because it has been found that patients with an increased slope have a higher risk of ACL reinjury after ACL reconstruction. 38 Further research should determine the role of tibial plateau depth and meniscal slope in the risk of ACL injury in male patients.…”

Specific exercise effects of preventive neuromuscular training intervention on anterior cruciate ligament injury risk reduction in young females: meta-analysis and subgroup analysis

“…The key to the development of effective prevention strategies is to identify modifiable risk factors. While some studies report an association between ACL injury and anatomical,7 8 hormonal9 and genetic10–12 components, they are not modifiable in current medical practices. Conversely, biomechanical and neuromuscular components are modifiable.…”