Paper 25: The Impact of Posterior Tibial Slope on Meniscal Injury in Acute ACL Ruptures: A Large, Retrospective Registry Study Article Swipe
Julia S. Retzky
,
Janet Hsu
,
Paley Arnone
,
Harry G. Greditzer
,
Danyal H. Nawabi
,
Robert G. Marx
,
Ryan R. Thacher
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/2325967123s00051
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/2325967123s00051
Objectives: Increased posterior tibial slope has previously been associated with an elevated risk of anterior cruciate ligament (ACL) rupture. Recent studies have suggested there may be a relationship between posterior slope and meniscal tears in ACL ruptures, however, these studies have either included chronic ACL injuries, revision ACL reconstructions or an overall low number of study participants. The goal of this study is to leverage a large ACL registry to assess the impact of posterior tibial slope on meniscal tears in acute ACL ruptures. Methods: A large, single-institution knee registry was consulted to identify all patients between the age of 18 and 45 who underwent primary ACL reconstruction between Jan 2019 and July 2022 for acute, noncontact ACL rupture, defined as undergoing surgery within 90 days of injury. Patients with pre-existing meniscal pathology, chronic ACL reconstructions, revisions, multi-ligament knee injuries and nonoperatively managed ACL injuries were excluded. Preoperative MRIs were used to measure lateral and medial posterior tibial slope for all patients. Meniscal injury seen in-situ during arthroscopy was recorded based on operative reports. Demographics data, including age, sex, and body mass index, was also recorded. Independent cohorts were created based on the presence or absence of any meniscal injury. Two-tailed student’s t tests were used to compare average medial and lateral posterior tibial slopes between these groups. Separate analyses were also performed to assess the impact of posterior slope on medial and lateral meniscus tears independently. Multiple logistic regression was carried out to determine risk factors for meniscal injury in this population. Results: 1059 patients ultimately met inclusion criteria. The average age was 29.5 and there were 532 (50%) women. There were 253 (24%) patients with isolated lateral meniscus tears, 152 (14%) patients with isolated medial meniscus tears and 93 (9%) patients with both medial and lateral tears. The average lateral and medial posterior tibial slopes were 5.54 (-4.2 to 13.4) and 5.67 (0 to 15.7), respectively. Increased lateral tibial slope was associated with a statistically significant increase in rate of any meniscal tear (p=.0022). Lateral slope was also associated with a higher rate of lateral meniscal tears, specifically (p=.0009). Multiple logistic regression identified elevated BMI and male sex as independent risk factors for meniscal injury in this population. Conclusions: Increased lateral posterior tibial slope is associated with a higher rate of meniscus injury in acute ACL ruptures and should be considered when devising treatment algorithms for patients in this population. [Table: see text][Table: see text][Table: see text][Table: see text]
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/2325967123s00051
- https://journals.sagepub.com/doi/pdf/10.1177/2325967123S00051
- OA Status
- gold
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4385412609
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4385412609Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/2325967123s00051Digital Object Identifier
- Title
-
Paper 25: The Impact of Posterior Tibial Slope on Meniscal Injury in Acute ACL Ruptures: A Large, Retrospective Registry StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-07-01Full publication date if available
- Authors
-
Julia S. Retzky, Janet Hsu, Paley Arnone, Harry G. Greditzer, Danyal H. Nawabi, Robert G. Marx, Ryan R. ThacherList of authors in order
- Landing page
-
https://doi.org/10.1177/2325967123s00051Publisher landing page
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-
https://journals.sagepub.com/doi/pdf/10.1177/2325967123S00051Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://journals.sagepub.com/doi/pdf/10.1177/2325967123S00051Direct OA link when available
- Concepts
-
Medicine, ACL injury, Anterior cruciate ligament, Tears, Medial meniscus, Surgery, Posterior cruciate ligament, Osteoarthritis, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- Related works (count)
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10Other works algorithmically related by OpenAlex
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