VIDEO: Increased posterior tibial slope may be associated with ACL reconstruction failure
Key takeaways:
- Patients with bilateral ACL tears had a higher incidence of having a posterior tibial slope greater than 12°.
- Risk of ACL reconstruction failure may be associated with increased posterior tibial slope.
SAN FRANCISCO — Patients with bilateral ACL tears had a higher incidence of having a posterior tibial slope greater than 12°, according to results presented here.
“It tells us that having an increased posterior tibial slope is an independent risk factor potentially for having a higher incidence of ACL tear,” Laith M. Jazrawi, MD, FAAOS, chief of sports medicine at NYU Langone Health, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “The importance of this, it continues to confirm how looking at alignment, particularly sagittal alignment and in this case sagittal slope, has an impact not just on having an ACL tear or injury, but also potentially having an impact on whether that reconstruction in that patient may fail.”
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Jazrawi LM, et al. Patients with bilateral ACL reconstruction (ACLR) have 3x the rate of posterior tibial slope greater than 12-degrees compared to unilateral ACLR: MRI and radiographic evaluation. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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